Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY GARDNER (VP FINANCE)
(704) 384-7603
Entity
Organization
Contact information
Practice address
8629 JM KEYNES DR, CHARLOTTE, NC 28262-8425
(704) 384-6225
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-6225
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
07/31/2013
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