Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Pediatric Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-1390
Entity
Organization
Contact information
Practice address
8401 MEDICAL PLAZA DR, SUITE 220, CHARLOTTE, NC 28262-8700
(704) 384-1390
(704) 384-1063
Mailing address
8401 MEDICAL PLAZA DR, SUITE 220, CHARLOTTE, NC 28262-8700
(704) 384-1390
(704) 384-1063
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
06/30/2015
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