Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Heart and Vascular Institute
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP FINANCE)
(704) 384-7606
Entity
Organization
Contact information
Practice address
125 BALDWIN AVENUE, SUITE 200, CHARLOTTE, NC 28204-3370
(704) 384-5043
(704) 384-8895
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5043
(704) 384-8895
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
29154
NC
207RC0000X
Cardiovascular Disease Physician
—
NC
207RI0011X
Interventional Cardiology Physician
29154
NC
Other
Enumeration date
11/11/2008
Last updated
06/28/2013
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