Organization
NOVANT MEDICAL GROUP, INC.
Active
Parent organization
NOVANT MEDICAL
Other names
Neuse Valley Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVANT MEDICAL
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
701 EXPOSITION PL, SUITE 218, RALEIGH, NC 27615-3300
(919) 791-2900
(919) 845-2568
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9401116
NC
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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