Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Calabash Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
10 DOCTORS CIR, SUITE 10-6, SUPPLY, NC 28462-4217
(910) 579-8363
(910) 579-8306
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2011
Last updated
04/06/2011
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