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Organization
NOVANT MEDICAL GROUP
Active
Organization
NOVANT MEDICAL GROUP
Active
Other names
Novant Health Nutrition Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF NMG FINANCE)
(704) 384-9144
Entity
Organization
Contact information
Practice address
5175 OLD CLEMMONS SCHOOL RD, CLEMMONS, NC 27012-9087
(336) 718-6770
(336) 277-1889
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-6770
(336) 277-1889
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
03/27/2013
Last updated
11/29/2013
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