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Organization

NOVANT MEDICAL GROUP INC

Active
Other names
Novant Health Vascular Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
GEOFFREY K. GARDNER (VP OF FINANCE)
(704) 384-7283
Entity
Organization

Contact information

Practice address
530 CORPORATE CIR, SUITE 200, SALISBURY, NC 28147-8074
(704) 638-4361
(704) 638-4362
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 638-4361

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1566061261
NC
Enumeration date
11/25/2014
Last updated
05/26/2015
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