NPI 1174036115

Novant Medical Group, INC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Charlotte, NC

Practice location

Address: 301 Hawthorne Ln STE 200, Charlotte, NC 28204-2467
Phone: (704) 384-7606
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Authorised official

Name: Geoffrey K Gardner
Title: Vp of Finance
Phone: (704) 384-7840

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 25806 (NC)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in North Carolina →

Oncology Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QX0200X

Other Clinic/Center providers in North Carolina →

Registry record

NPI: 1174036115
Entity type: Organization
NPI issued: 13 Nov 2017
Record last updated: 13 Nov 2017

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.