OrganizationActive
Novant Medical Group Inc
NPI 1619389202 · Colon & Rectal Surgery Physician · Clemmons, NC
Provider details
- NPI number
- 1619389202
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Gardner, Vp of Finance(336) 765-5221
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
7126 Village Medical Cir
Clemmons, NC 27012-8004
Phone: (336) 765-5221
Fax: (336) 765-0430
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Colon and Rectal Clinic
Registry dates
- Enumerated
- 2014-05-30
- Last updated
- 2015-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.