Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Southeast OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 321-1077
Entity
Organization
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, STE 300, MATTHEWS, NC 28105-5332
(704) 321-1077
(704) 321-1086
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 321-1077
(704) 321-1086
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011V2
BCBS NC
NC
05
—
5907956
—
NC
Enumeration date
03/01/2007
Last updated
06/26/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us