Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Adult Medicine at Piedmont Crossing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY GARDNER (VP FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
100 HEDRICK DR, THOMASVILLE, NC 27360-6009
(336) 474-3777
(336) 474-8932
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917805
—
NC
Enumeration date
04/14/2011
Last updated
11/29/2013
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