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Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Family Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF OPERATIONS)
(704) 384-9094
Entity
Organization
Contact information
Practice address
207 CHURCH ST, CLOVER, SC 29710-1008
(803) 222-3063
(803) 222-3064
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4331
—
SC
Enumeration date
05/10/2006
Last updated
06/27/2013
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