# NOVANT MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Thoracic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174036115
- **Authorized official:** GEOFFREY K GARDNER (VP OF FINANCE)
- **Authorized official phone:** (704) 384-7840

## Contact information

- **Practice address:** 301 HAWTHORNE LN STE 200, CHARLOTTE, NC 28204-2467
- **Practice address phone:** (704) 384-7606
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 25806 | NC | Yes |
| 261QX0200X | Oncology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/13/2017
- **Last updated:** 11/13/2017