Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (ENROLLMENT COORDINATOR)
(704) 316-7585
Entity
Organization
Contact information
Practice address
1985 TATE BLVD SE, SUITE 600, HICKORY, NC 28602-1469
(828) 328-5500
(828) 485-2517
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-7585
(704) 338-6422
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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