Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Pediatric Arboretum
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7606
Entity
Organization
Contact information
Practice address
1718 E 4TH ST, SUITE 401, CHARLOTTE, NC 28204-3261
(704) 384-7606
(336) 277-7722
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7606
(336) 277-7722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
08/07/2017
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