Novant Medical Group INC

NPI #1053658526 in Gaffney, South Carolina

Provider Information

NPI Number: 1053658526
Entity Type: Organization
Organization Name: Novant Medical Group INC
Primary Specialty: Urology
Enumeration Date: Jan 3, 2013
Last Updated: Jan 18, 2013

Practice Location

Address: 1506 N LIMESTONE ST
Address 2: SUITE D
City: Gaffney
State: South Carolina
ZIP Code: 29340-4747
Phone: (864) 489-6864

Authorized Official

Name: MR. GEOFFREY KEITH GARDNER
Title: VP FINANCE
Phone: (704) 384-9094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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