Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Sports & Performance Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7840
Entity
Organization
Contact information
Practice address
8035 PROVIDENCE RD STE 100, CHARLOTTE, NC 28277-9716
(704) 316-1222
(704) 316-1223
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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