Organization
NOANT MEDICAL GROUP, INC
Active
Other names
Novant Health Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7606
Entity
Organization
Contact information
Practice address
3350 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3014
(336) 718-8383
(336) 718-9622
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-8383
(336) 718-9622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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