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Organization

NOVANT MEDICAL GROUP, INC

Active
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Organization

NOVANT MEDICAL GROUP, INC

Active
Other names
Novant Health Midwifery Associates
Organization subpart
No

Provider details

NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7606
Entity
Organization

Contact information

Practice address
280 BROAD ST, SUITE D, KERNERSVILLE, NC 27284-2796
(336) 718-7470
(336) 765-6440
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-7470
(336) 765-6440

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
12/14/2015
Last updated
12/14/2015
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