Organization
NMG AFFILIATE PRACTICE I, LLC
Active
Other names
Novant Health Oncology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP FINANCE)
(704) 384-7606
Entity
Organization
Contact information
Practice address
1913 W PARK DR, NORTH WILKESBORO, NC 28659-3564
(336) 903-6362
(336) 903-6354
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 903-6362
(336) 903-6354
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
05/14/2015
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