Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Orthopedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(336) 475-0200
Entity
Organization
Contact information
Practice address
1219 LEXINGTON AVE STE D, THOMASVILLE, NC 27360-2784
(336) 475-0200
(336) 474-3274
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(336) 475-0200
(336) 474-3274
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922131
—
NC
Enumeration date
11/20/2012
Last updated
10/29/2015
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