Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Carolina Family Practice and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY GARDNER (VP FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
190 ROSEWOOD CENTRE DR, SUITE 100, HOLLY SPRINGS, NC 27540-7628
(919) 238-2000
(919) 238-5010
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
05/05/2011
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