Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Telepsychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP FINANCE)
(844) 266-8268
Entity
Organization
Contact information
Practice address
140 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6160
(844) 266-8268
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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