Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Huntersville Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K. GARDNER (VP FINANCE)
(704) 384-7283
Entity
Organization
Contact information
Practice address
6909 PROSPERITY CHURCH RD, HUNTERSVILLE, NC 28078-6698
(704) 316-4830
(704) 316-4831
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4830
(704) 316-4831
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915730
—
NC
Enumeration date
08/11/2010
Last updated
02/19/2015
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