Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Randolph OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP FINANCE)
(704) 384-7680
Entity
Organization
Contact information
Practice address
2400 SOUTH BLVD, SUITE 103, CHARLOTTE, NC 28203-5159
(704) 316-3000
(704) 316-3001
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7680
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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