Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Family Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(803) 684-3738
Entity
Organization
Contact information
Practice address
1023 CREEKSIDE MEDICAL DRIVE, YORK, SC 29745-1661
(803) 684-3738
(803) 684-3808
Mailing address
1023 CREEKSIDE MEDICAL DRIVE, YORK, SC 29745-1661
(803) 684-3738
(803) 684-3808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4323
—
SC
Enumeration date
04/06/2006
Last updated
06/27/2013
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