Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Archdale Family Medicine
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 EAST 4TH STREET, SUITE 401, CHARLOTTE, NC 28260-0447
(336) 564-4161
(336) 431-0084
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 564-4161
(336) 431-0084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
08/05/2014
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