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Organization

NOVANT MEDICAL GROUP, INC.

Active
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Organization

NOVANT MEDICAL GROUP, INC.

Active
Other names
Novant Health Midwifery Associates
Organization subpart
No

Provider details

NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(336) 718-7470
Entity
Organization

Contact information

Practice address
150 CHARLOIS BLVD, SUITE 100, WINSTON SALEM, NC 27103-1549
(336) 718-7470
(336) 765-6440
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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