Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Southeast Bariatrics
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
911 WEST HENDERSON STREET, KISER BUILDING, SUITE 410, SALISBURY, NC 28144-2700
(704) 347-4144
(704) 347-4148
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 347-4144
(704) 347-4148
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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