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Novant Medical Group INC

Orthopaedic Surgery in Matthews, NC. Organization (NPI-2).

NPI number1114366994
StatusActive
Last updated in NPPESMar 27, 2014

Details

NPI
1114366994
Entity type
Organization (NPI-2)
Legal business name
Novant Medical Group INC
Organization subpart
No
Enumeration date
Jun 14, 2013
Last updated
Mar 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes
207T00000X Neurological Surgery––
208100000X Physical Medicine & Rehabilitation––
208VP0000X ––

Other names

  • Novant Health Total Spine Specialists (Doing Business As)

Practice location

1450 Matthews Township Parkway
Suite 355
Matthews, NC 28105-4300

Phone 704-544-6920

Mailing address

Po Box 60447
Charlotte, NC 28260-0447

Phone 704-384-7840

Authorized official

Geoffrey Keith Gardner
Vp Finance
7045446920

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