Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Multidisciplinary Cancer Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF NMG FINANCE)
(704) 384-5373
Entity
Organization
Contact information
Practice address
1718 E 4TH ST STE 105, CHARLOTTE, NC 28204-3193
(704) 384-5373
(704) 417-4400
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
NC
Other
Enumeration date
11/02/2012
Last updated
07/21/2022
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