Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP FINANCNE)
(704) 384-7603
Entity
Organization
Contact information
Practice address
315 MOCKSVILLE AVE, SALISBURY, NC 28144-3327
(704) 870-2660
(704) 870-2661
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/16/2017
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