Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Midtown OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFF K. GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
1718 E 4TH ST, SUITE 707, CHARLOTTE, NC 28204-3282
(704) 316-5270
(704) 316-5271
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5270
(704) 316-5271
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649441809
BCBS-NC
NC
05
—
5909116
—
NC
Enumeration date
03/17/2008
Last updated
07/03/2013
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