Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7840
Entity
Organization
Contact information
Practice address
280 BROAD ST STE A, KERNERSVILLE, NC 27284-2948
(704) 384-7606
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7606
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
200200876
NC
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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