Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Carolina Ob/Gyn of York County
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF OPERATIONS)
(704) 384-9094
Entity
Organization
Contact information
Practice address
360 S HERLONG AVE, ROCK HILL, SC 29732-1160
(803) 366-4171
(803) 366-6890
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(803) 366-4171
(803) 366-6890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04774
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4549
—
SC
Enumeration date
10/31/2006
Last updated
07/19/2011
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