Novant Medical Group, INC.
Internal Medicine, Sleep Medicine in Rock Hill, SC. Organization (NPI-2).
NPI number1760782866
StatusActive
Last updated in NPPESOct 7, 2011
Details
- NPI
- 1760782866
- Entity type
- Organization (NPI-2)
- Legal business name
- Novant Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Oct 25, 2010
- Last updated
- Oct 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RS0012X | Internal Medicine, Sleep Medicine | – | – | Yes |
Other names
- Mid Carolina Cardiology (Doing Business As)
Practice location
430 South Herlong Ave.Suite 106
Rock Hill, SC 29732
Phone 803-980-4949
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Phone 704-343-9800
Authorized official
Geoffrey K Gardner
Vp Of Finance
7043849094
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