NPI 1366683138

Novant Medical Group INC

Organisation Plastic Surgery Physician Charlotte, NC

Practice location

Address: 1918 Randolph Rd Suite 850, Charlotte, NC 28207-1100
Phone: (704) 444-5800
Fax: (704) 444-5819
Mailing address: PO Box 602362, Charlotte, NC 28260-2362

Authorised official

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

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in North Carolina →

Registry record

NPI: 1366683138
Entity type: Organization
NPI issued: 9 Mar 2009
Record last updated: 20 Apr 2010

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.