Organization
NOVANT MEDICAL GROUP INC
Active
Other names
NOVANT HEALTH NEUROLOGY AND SLEEP
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7840
Entity
Organization
Contact information
Practice address
2801 RANDOLPH RD STE 101, CHARLOTTE, NC 28211-1051
(704) 384-8696
(704) 384-8697
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8696
(704) 384-8697
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
07/24/2018
Last updated
09/18/2018
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