Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Bariatric & General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY KEITH GARDNER (VP FINANCE)
(336) 564-4035
Entity
Organization
Contact information
Practice address
1710 KERNERSVILLE MEDICAL PKWY, SUITE 220, KERNERSVILLE, NC 27284-7155
(336) 564-4035
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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