Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Carolina Urological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(336) 245-2100
Entity
Organization
Contact information
Practice address
140 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103-6160
(336) 245-2100
(336) 768-7782
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 245-2100
(336) 768-7782
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
07/21/2022
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