Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF FINANCE)
(704) 384-7603
Entity
Organization
Contact information
Practice address
14215 BALLANTYNE CORPORATE PL, SUITE 240, CHARLOTTE, NC 28277-3670
(704) 316-5000
(704) 316-5010
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5000
(704) 316-5010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
06/13/2013
Last updated
06/19/2013
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