Organization
NOVANT MEDICAL GROUP INC
Active
Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Urology
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-9672
Entity
Organization
Contact information
Practice address
445 PINEVIEW DR, SUITE 200, KERNERSVILLE, NC 27284-3818
(336) 993-8863
(336) 993-4178
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9672
(704) 316-8725
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
09/29/2016
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