Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VICE PRESIDENT - FINANCE)
(704) 384-7840
Entity
Organization
Contact information
Practice address
152 E KINDERTON WAY STE 101, BERMUDA RUN, NC 27006
(336) 893-3170
(336) 893-3179
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4645
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
07/12/2018
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