Organization
NOVANT MEDICAL GROUP INC.
Active
Other names
Novant Health Triad Foot & Ankle Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP FINANCE NMG)
(336) 774-3141
Entity
Organization
Contact information
Practice address
3641 WESTGATE CENTER CIR, SUITE A, WINSTON SALEM, NC 27103-2936
(336) 774-3141
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 774-3141
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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