Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Easy Care Friedberg Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY KEITH GARDNER (VP OF FINANCE)
(704) 384-7606
Entity
Organization
Contact information
Practice address
5010 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-7276
(336) 788-4664
(336) 788-0753
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 788-4664
(336) 788-0753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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