Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Northlake Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 316-5388
Entity
Organization
Contact information
Practice address
6909 PROSPERITY CHURCH RD, HUNTERSVILLE, NC 28078-6698
(704) 316-5388
(704) 316-1848
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5388
(704) 316-1848
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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