Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Northlake Neurology - Huntersville
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
16525 HOLLY CREST LN, SUITE 120, HUNTERSVILLE, NC 28078-4909
(704) 316-5388
(704) 316-1848
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
NC
Other
Enumeration date
09/24/2008
Last updated
10/08/2012
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