Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Gill Orthopaedics Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF OPERATIONS)
(704) 384-9094
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, SUITE 700, CHARLOTTE, NC 28207-1167
(704) 342-3544
(704) 370-6652
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 342-3544
(704) 370-6652
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019PV
BCBS-NC
NC
01
—
1508052242
PARTNERS
NC
05
—
5908361
—
NC
Enumeration date
09/17/2007
Last updated
11/29/2013
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