Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Farrington Family Medical Center Kannapolis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY GARDNER (VP OF FINANCE)
(704) 384-9104
Entity
Organization
Contact information
Practice address
964 COPPERFIELD BLVD NE, CONCORD, NC 28025-2433
(704) 384-7310
(704) 384-7311
Mailing address
650 STATESVILLE BLVD, BOX 4, SALISBURY, NC 28144-2284
(704) 637-1123
(704) 637-1214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019XF
BCBS-NC
NC
05
—
5907970
—
NC
Enumeration date
09/04/2007
Last updated
04/21/2010
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