NPI 1619389202

Novant Medical Group INC

Organisation Colon & Rectal Surgery Physician Clemmons, NC

Practice location

Address: 7126 Village Medical Cir, Clemmons, NC 27012-8004
Phone: (336) 765-5221
Fax: (336) 765-0430
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Authorised official

Name: Geoffrey K. Gardner
Title: Vp of Finance
Phone: (336) 765-5221

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: 1619389202
Entity type: Organization
NPI issued: 30 May 2014
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.