Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Rankin OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF FINANCE)
(704) 384-1620
Entity
Organization
Contact information
Practice address
2610 WEST ARROWOOD ROAD, CHARLOTTE, NC 28273-6134
(704) 384-1620
(704) 384-1626
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1620
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919247
—
NC
Enumeration date
10/12/2011
Last updated
11/29/2013
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