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Organization
NOVANT MEDICAL GROUP, INC
Active
Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF FINANCE)
(704) 384-7603
Entity
Organization
Contact information
Practice address
14215 BALLANTYNE CORPORATE PL, SUITE 240, CHARLOTTE, NC 28277-3670
(704) 316-5000
(704) 316-5010
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5000
(704) 316-5010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
06/13/2013
Last updated
06/19/2013
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