Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Mid Carolina Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
430 SOUTH HERLONG AVE., SUITE 106, ROCK HILL, SC 29732
(803) 980-4949
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 343-9800
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/25/2010
Last updated
10/07/2011
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