# NOVANT MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Lake Norman Rheumatology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760823231
- **Authorized official:** MR. GEOFFREY KEITH GARDNER (VP FINANCE)
- **Authorized official phone:** (704) 384-7603

## Contact information

- **Practice address:** 19485 OLD JETTON RD, SUITE 270, CORNELIUS, NC 28031-6582
- **Practice address phone:** (704) 384-7603
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 384-7840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2013
- **Last updated:** 07/12/2013