Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Developmental & Behavioral Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K. GARDNER (VP OF FINANCE)
(704) 316-1155
Entity
Organization
Contact information
Practice address
6331 CARMEL RD STE 102, CHARLOTTE, NC 28226
(704) 384-0567
(704) 384-0568
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-0567
(704) 384-0568
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/26/2012
Last updated
09/04/2018
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