Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Cancer Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP NMG FINANCE)
(704) 316-4485
Entity
Organization
Contact information
Practice address
1718 E 4TH ST STE 707, CHARLOTTE, NC 28204-3282
(704) 316-4485
(704) 316-4490
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4485
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NC
207RX0202X
Medical Oncology Physician
—
—
Other
Enumeration date
05/05/2015
Last updated
04/20/2017
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