Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Franklin General and Vascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY GARDNER (VP FINCANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
10500 LIGON MILL RD, SUITE 113, WAKE FOREST, NC 27587-4576
(919) 496-1050
(919) 496-0191
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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