Organization
NOVANT MEDICAL GROUP, INC.
Active
Parent organization
NOVANT MEDICAL GROUP, INC
Other names
Mid Carolina Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVANT MEDICAL GROUP, INC
Authorized official
GEOFFREY GARDNER (VP OF OPERATIONS)
(704) 384-9094
Entity
Organization
Contact information
Practice address
1640 E ROOSEVELT BLVD, MONROE, NC 28112-4017
(704) 226-0500
(704) 226-0599
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 343-7784
(704) 347-7830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
07/19/2011
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