NPI 1306185541

Novant Medical Group, INC.

Organisation Colon & Rectal Surgery Physician Kernersville, NC

Practice location

Address: 1710 Kernersville Medical Pkwy Suite 202, Kernersville, NC 27284-7146
Phone: (336) 564-4873
Fax: (336) 992-2170
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Authorised official

Name: Geoffrey K. Gardner
Title: Vp of Finance
Phone: (704) 384-9094

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in North Carolina →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in North Carolina →

Registry record

NPI: 1306185541
Entity type: Organization
NPI issued: 7 Feb 2013
Record last updated: 11 Mar 2015

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.