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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