Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Davidson Ears, Nose, Throat (Kernersville)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K GARDNER (VP FINANCE, NMG)
(704) 384-9094
Entity
Organization
Contact information
Practice address
1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7146
(336) 472-1300
(336) 472-1302
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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