| Novant Medical Group, Inc | |
|
1718 East 4th Street Suite 401 Charlotte NC 28260-0447 | |
| (336) 564-4161 | |
| (336) 431-0084 |
| Full Name | Novant Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1718 East 4th Street, Charlotte, North Carolina |
| Authorized Official Name and Position | Geoffrey K Gardner (VP OF FINANCE) |
| Authorized Official Contact | 7043847606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Medical Group, Inc Po Box 60447 Charlotte NC 28260-0447 Ph: (336) 564-4161 | Novant Medical Group, Inc 1718 East 4th Street Suite 401 Charlotte NC 28260-0447 Ph: (336) 564-4161 |
| NPI Number | 1417362781 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417362781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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