Novant Medical Group INC

NPI #1639509458 in Haymarket, Virginia

Provider Information

NPI Number: 1639509458
Entity Type: Organization
Organization Name: Novant Medical Group INC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 14, 2013
Last Updated: Jan 7, 2014

Practice Location

Address: 15225 HEATHCOTE BLVD
City: Haymarket
State: Virginia
ZIP Code: 20169
Phone: (571) 284-3366

Authorized Official

Name: GEOFFREY K. GARDNER
Title: VP OF FINANCE
Phone: (704) 384-7283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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