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Organization
NOVANT MEDICAL GROUP INC
Active
Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Farrington Family Medical Center Kannapolis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY GARDNER (VP OF FINANCE)
(704) 384-9104
Entity
Organization
Contact information
Practice address
964 COPPERFIELD BLVD NE, CONCORD, NC 28025-2433
(704) 384-7310
(704) 384-7311
Mailing address
650 STATESVILLE BLVD, BOX 4, SALISBURY, NC 28144-2284
(704) 637-1123
(704) 637-1214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019XF
BCBS-NC
NC
05
—
5907970
—
NC
Enumeration date
09/04/2007
Last updated
04/21/2010
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