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Organization

NOVANT MEDICAL GROUP INC

Active
Other names
Novant Health Sleep Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEOFFREY KEITH GARDNER (VP FINANCE)
(704) 384-7603
Entity
Organization

Contact information

Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(704) 384-7603
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
2080S0012X
Pediatric Sleep Medicine Physician
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician

Other

Enumeration date
03/17/2014
Last updated
03/17/2014
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