Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Faith Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF OPERATIONS)
(704) 384-9094
Entity
Organization
Contact information
Practice address
1000 BROWN STREET, FAITH, NC 28041-0610
(704) 279-3950
(704) 209-3004
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447429725
BCBS-NC
NC
05
—
5950084
—
NC
Enumeration date
02/21/2008
Last updated
03/11/2015
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