# NOVANT MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Endocrinology Cotswold
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467900977
- **Authorized official:** GEOFF K GARDNER (VP OF FINANCE)
- **Authorized official phone:** (704) 384-9672

## Contact information

- **Practice address:** 330 BILLINGSLEY RD, SUITE 101, CHARLOTTE, NC 28211-5020
- **Practice address phone:** (704) 316-2335
- **Practice address fax:** (704) 316-2326
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 316-2335
- **Mailing address fax:** (704) 316-2326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2016
- **Last updated:** 09/13/2016
