Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Orthopedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 216-5633
Entity
Organization
Contact information
Practice address
375 HOSPITAL ST, MOCKSVILLE, NC 27028-2086
(704) 216-5633
(704) 639-0785
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 216-5633
(704) 639-0785
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922165
—
NC
Enumeration date
01/10/2013
Last updated
03/16/2017
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