# NOVANT MEDICAL GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Triad Foot & Ankle Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437588506
- **Authorized official:** GEOFFREY K GARDNER (VP FINANCE NMG)
- **Authorized official phone:** (336) 774-3141

## Contact information

- **Practice address:** 3641 WESTGATE CENTER CIR, SUITE A, WINSTON SALEM, NC 27103-2936
- **Practice address phone:** (336) 774-3141
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (336) 774-3141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2013
- **Last updated:** 11/08/2013