Organization
NMG SOUTHPARK SERVICES, LLC
Active
Other names
NOVANT NURSE ANESTHESIA PROFESSIONAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFF GARDNER (VP OF FINANCE)
(336) 718-2078
Entity
Organization
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(952) 442-3620
Mailing address
PO BOX 602579, CHARLOTTE, NC 28260-2579
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/28/2011
Last updated
11/26/2013
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