Organization
NOVANT MEDICAL GROUP, INC
Active
Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Total Spine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY GARDNER (VP FINANCE)
(704) 316-3030
Entity
Organization
Contact information
Practice address
1995 WELLNESS BLVD, BLDG B SUITE 110, MONROE, NC 28110-7772
(704) 316-3030
(704) 316-3025
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3030
(704) 316-3025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
10/28/2010
Last updated
07/05/2013
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