Organization
THE PRESBYTERIAN HOSPITAL
Active
Other names
Novant Health Heart and Vascular Institute
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7606
Entity
Organization
Contact information
Practice address
1718 E 4TH ST, SUITE 105, CHARLOTTE, NC 28204-3193
(704) 384-7292
(704) 384-8880
Mailing address
PO BOX 601529, CHARLOTTE, NC 28260-1529
(704) 384-7292
(704) 384-8880
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336150416
—
NC
Enumeration date
08/11/2006
Last updated
04/25/2016
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