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
1630 CAMPUS PARK DR, UNIT C, MONROE, NC 28112-5269
(704) 384-1808
(704) 384-1806
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-6225
(704) 384-6264
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/11/2013
Last updated
10/25/2016
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