Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Inpatient Care Specialists Prince William
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF FINANCE)
(703) 396-5292
Entity
Organization
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4419
(703) 396-5292
(703) 396-5297
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 396-5292
(703) 396-5297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
08/28/2013
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