Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Orthopedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7606
Entity
Organization
Contact information
Practice address
7138 VILLIAGE MEDICAL CIRCLE, CLEMMONS, NC 27012-7520
(336) 893-2100
(336) 766-4227
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 893-2100
(336) 766-4227
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629419247
—
NC
Enumeration date
07/11/2013
Last updated
10/29/2015
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