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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
MR. GEOFFREY KEITH GARDNER (VP FINANCE)
(704) 384-7603
Entity
Organization
Contact information
Practice address
8540 E INDEPENDENCE BLVD, CHARLOTTE, NC 28227-7783
(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
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NULL
207RC0200X
Critical Care Medicine (Internal Medicine) 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
—
—
Other
Enumeration date
01/11/2013
Last updated
07/31/2013
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