Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Cherokee Women's Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K. GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
1506 N LIMESTONE ST, SUITE C, GAFFNEY, SC 29340-4747
(864) 487-4573
(864) 488-0966
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(864) 487-4573
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730336330
—
SC
Enumeration date
08/26/2008
Last updated
06/03/2013
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