Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Miller Street Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7605
Entity
Organization
Contact information
Practice address
50 MILLER ST, STE G, WINSTON SALEM, NC 27104
(704) 384-7605
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Enumeration date
10/20/2016
Last updated
08/07/2018
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