Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Pediatric Sleep Medicine, Novant Health Pediatric Sleep Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K. GARDNER (VP OF FINANCE)
(704) 384-9672
Entity
Organization
Contact information
Practice address
1900 RANDOLPH RD STE 1010, CHARLOTTE, NC 28207-1117
(704) 316-1062
(704) 384-1063
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-1062
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
09/18/2018
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