Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Inpatient Care Specialists Haymarket
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K. GARDNER (VP OF FINANCE)
(704) 384-7283
Entity
Organization
Contact information
Practice address
15225 HEATHCOTE BLVD, HAYMARKET, VA 20169
(571) 284-3366
(571) 284-3369
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(571) 284-3366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
VA
Other
Enumeration date
11/14/2013
Last updated
01/07/2014
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