Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Seaside Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7606
Entity
Organization
Contact information
Practice address
710 SUNSET BLVD N, SUITE A, SUNSET BEACH, NC 28468-4345
(704) 384-7606
(336) 277-7722
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7606
(336) 277-7722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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