Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Presbyterian Psychiatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
3614 PROVIDENCE RD, WAXHAW, NC 28173-6309
(704) 384-1246
(704) 384-6072
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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