Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Huntersville Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP FINANCE)
(704) 384-7283
Entity
Organization
Contact information
Practice address
14330 OAK HILL PARK LN, SUITE 100, HUNTERSVILLE, NC 28078-3409
(704) 316-4830
(704) 316-4831
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4830
(704) 316-4831
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016HW
BCBS
NC
05
—
89016HW
—
NC
01
—
CC5118
RAILROAD MEDICARE
NC
Enumeration date
06/06/2006
Last updated
07/03/2013
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