Organization
NOVANT MEDICAL GROUP, INC
Active
Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Memory Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
2801 RANDOLPH RD, SUITE 101, CHARLOTTE, NC 28211-1051
(704) 384-7910
(704) 316-2015
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7910
(704) 316-2015
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
07/03/2013
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