Organization · Type 2 NPI

Novant Medical Group, Inc.

Sports Medicine (Orthopaedic Surgery) Physician · Winston Salem, NC

NPI number 1992232979 Active

Practice location

2337 Winterhaven Ln
Winston Salem, NC 27103-6792

Call (336) 718-7950 Map

Fax (336) 718-7989

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	None listed

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

10 other providers at this address

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NPI record

NPI: 1992232979
Entity type: Organization (Type 2)
Issued: May 22, 2017
Last updated: May 22, 2017
Status: Active

Other names

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Novant Health Orthopedics and Sports Medicine · doing business as
Novant Health Orthopedics and Sports Medicine · doing business as

Authorized official

Geoffrey K. Gardner
VP of Finance
(704) 384-7834

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1992232979

Novant Medical Group, Inc.'s National Provider Identifier is 1992232979, issued on May 22, 2017. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Winston Salem, NC. The record was last updated on May 22, 2017.