# NOVANT MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Davidson Ear, Nose, Throat & Sinus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477874592
- **Authorized official:** GEOFFREY GARDNER (VP OF FINANCE)
- **Authorized official phone:** (336) 472-1300

## Contact information

- **Practice address:** 1213 LEXINGTON AVE, THOMASVILLE, NC 27360-3416
- **Practice address phone:** (336) 472-1300
- **Practice address fax:** (336) 472-1302
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (336) 472-1300
- **Mailing address fax:** (336) 472-1302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |

## Other

- **Enumeration date:** 06/14/2010
- **Last updated:** 11/29/2013