Organization
NOVANT MEDICAL GROUP INC
Active
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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