NPI 1053658526

Novant Medical Group INC

Organisation Urology Physician Gaffney, SC

Practice location

Address: 1506 N Limestone St Suite D, Gaffney, SC 29340-4747
Phone: (864) 489-6864
Fax: (864) 489-1477
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Authorised official

Name: Geoffrey Keith Gardner
Title: Vp Finance
Phone: (704) 384-9094

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in South Carolina →

Registry record

NPI: 1053658526
Entity type: Organization
NPI issued: 3 Jan 2013
Record last updated: 18 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.