Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Triad Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K. GARDNER (VP OF FINANCE)
(704) 384-7283
Entity
Organization
Contact information
Practice address
1710 KERNERSVILLE MEDICAL PKWY, STE 220, KERNERSVILLE, NC 27284-7156
(336) 992-2140
(336) 992-2159
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 992-2140
(336) 992-2159
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
08/15/2013
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