# NOVANT MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Thomasville OBGYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376908152
- **Authorized official:** GEOFFREY K GARDNER (VP OF FINANCE)
- **Authorized official phone:** (704) 384-7606

## Contact information

- **Practice address:** 1302 LEXINGTON AVE, THOMASVILLE, NC 27360-3419
- **Practice address phone:** (704) 384-7606
- **Practice address fax:** (336) 277-7722
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 384-7606
- **Mailing address fax:** (336) 277-7722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2015
- **Last updated:** 12/22/2015