Novant Medical Group, Inc.
Organization
Active NPI
Developmental - Behavioral Pediatrics Physician · Matthews, NC
NPI 1194152512 · NPPES record last updated Sep 30, 2013
Key facts
- NPI
- 1194152512
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental - Behavioral Pediatrics Physician 2080P0006X
- Legal business name
- NOVANT MEDICAL GROUP, INC.
- Practice address
- 1401 Matthews Township Pkwy
Suite 100
Matthews, NC 28105-5403
- Phone
- (704) 316-1155
- Fax
- (704) 316-1160
- NPI assigned
- Sep 30, 2013
- Organization subpart
- No
Authorized official
- Name
- Geoffrey K. Gardner
- Title
- VP of Finance
- Phone
- (704) 316-1155
Corporate family (same tax ID) 24
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National Provider Directory
- Tax ID family
- Presbyterian Inpt Care (503 organizations share this tax ID)
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
Developmental - Behavioral Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP |
2080P0006X |
|
|
Yes |
Addresses
Primary practice location
1401 Matthews Township Pkwy
Suite 100
Matthews, NC 28105-5403
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-1155
Other names
- Novant Health Developmental & Behavioral Pediatrics Doing business as
Other providers in Matthews, NC
- Novant Medical Group, Inc
- Novant Medical Group, Inc.
- Novant Medical Group, Inc.
- Novant Medical Group, Inc.
- Novant Medical Group, Inc.
- Novant Medical Group, Inc.
- Novant Medical Group, Inc.
- Novant Medical Group, Inc.
- Novant Medical Group, Inc.
- Clara Lucia Nunez Romero, DDS
All providers in Matthews, NC
· Developmental - Behavioral Pediatrics Physician in North Carolina