Organization
NMG AFFILIATE PRACTICE I LLC
Active
Other names
Novant Health Heart and Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP FINANCE)
(276) 238-3318
Entity
Organization
Contact information
Practice address
812 WEST STUART DRIVE, GALAX, VA 24333-2605
(276) 238-3318
(276) 236-4204
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
06/21/2013
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