Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Pediatrics Plaza Midwood
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7840
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD STE 700, CHARLOTTE, NC 28207-1167
(704) 384-7834
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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