Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Cardiology Galax
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7680
Entity
Organization
Contact information
Practice address
812 WEST STUART DRIVE, GALAX, VA 24333-2605
(276) 238-3318
(276) 236-4204
Mailing address
PO BOX 60447, CHARLOTTE, NC 28275-1803
(276) 238-3318
(276) 236-4204
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831594522
—
NC
Enumeration date
10/24/2014
Last updated
06/27/2016
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