OrganizationActive
Novant Medical Group, Inc.
NPI 1699095331 · Pediatric Urology Physician · Matthews, NC
Provider details
- NPI number
- 1699095331
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Geoffrey Gardner, Vp of Finance
Practice location
1401 Matthews Township Pkwy
Suite 312
Matthews, NC 28105-5402
Phone: (704) 384-9530
Fax: (704) 384-9535
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Registry dates
- Enumerated
- 2010-06-04
- Last updated
- 2010-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.