Novant Medical Group INC

NPI #1154693018 in Winston Salem, North Carolina

Provider Information

NPI Number: 1154693018
Entity Type: Organization
Organization Name: Novant Medical Group INC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 7, 2012
Last Updated: Nov 29, 2013

Practice Location

Address: 201 EXECUTIVE PARK BLVD
City: Winston Salem
State: North Carolina
ZIP Code: 27103-1503
Phone: (336) 774-9000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Internal Medicine	207R00000X	Primary

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