Novant Medical Group INC
Podiatrist, Foot & Ankle Surgery in Lexington, NC. Organization (NPI-2).
NPI number1679904643
StatusActive
Last updated in NPPESJan 9, 2015
Details
- NPI
- 1679904643
- Entity type
- Organization (NPI-2)
- Legal business name
- Novant Medical Group INC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2013
- Last updated
- Jan 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
Other names
- Novant Health Triad Foot & Ankle Associates (Doing Business As)
Practice location
208 W Center St Ste BLexington, NC 27292-3046
Phone 336-774-3141
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Authorized official
Geoffrey K Gardner
Vp Of Finance
3367743141
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