Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Pulmonary and Sleep Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K. GARDNER (VP OF FINANCE)
(910) 754-4572
Entity
Organization
Contact information
Practice address
5145 SELLERS RD, SHALLOTTE, NC 28470-3405
(910) 754-4572
(910) 754-4580
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 754-4572
(910) 754-4580
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950554
—
NC
Enumeration date
06/27/2008
Last updated
09/19/2013
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