Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Bariatric Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-9679
Entity
Organization
Contact information
Practice address
1710 KERNERSVILLE MEDICAL PKWY STE 210, KERNERSVILLE, NC 27284-7157
(336) 564-4950
(336) 564-4959
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 564-4950
(336) 564-4959
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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