Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Lake Norman Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY KEITH GARDNER (VP FINANCE)
(704) 384-7603
Entity
Organization
Contact information
Practice address
19485 OLD JETTON RD, SUITE 270, CORNELIUS, NC 28031-6582
(704) 384-7603
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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