Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Psychiatric Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANACE)
(704) 316-7585
Entity
Organization
Contact information
Practice address
1350 WHITAKER RIDGE DR, WINSTON SALEM, NC 27106-4966
(336) 277-1800
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-1800
(336) 277-6981
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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