Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7840
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD STE 175, CHARLOTTE, NC 28207-1107
(704) 316-5222
(704) 316-1386
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2017
Last updated
08/01/2019
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