OrganizationActive
Novant Medical Group Inc
NPI 1164705653 · Pediatric Gastroenterology Physician · Charlotte, NC
Provider details
- NPI number
- 1164705653
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Geoffrey Gardner, Vp Finance Nmg
Practice location
16139 Lancaster Hwy
Suite 110
Charlotte, NC 28277-2033
Phone: (704) 316-5060
Fax: (704) 316-5069
Mailing address
P O Box 60447
Charlotte, NC 28275-1803
Registry dates
- Enumerated
- 2011-09-21
- Last updated
- 2016-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.