Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Calabretta Cosmetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K. GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, SUITE 850, CHARLOTTE, NC 28207-1100
(704) 444-5800
(704) 444-5819
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 444-5800
(704) 444-5819
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911267
—
NC
Enumeration date
03/09/2009
Last updated
04/20/2010
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