Organization Name: | NOVANT MEDICAL GROUP, INC |
NPI Number: | 1083986111 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEOFFREY K GARDNER (VP OF FINANCE) |
Mailing Address: | 2909 Maplewood Avenue Winston Salem |
State: | NC US |
Postal Code: | 27103 |
Phone Number: | 3362770340 |
Fax Number: | 3362770359 |
NPI Enumeration Date: | 02/06/2012 |
NPI Last Update Date: | 09/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |