OrganizationNovant Medical Group Inc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address201 Executive Park Blvd, Winston Salem, NC 27103-1503(336) 774-9000(704) 384-7840PECOS EnrollmentBased on the most recent information from CMS, provider Novant Medical Group Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1154693018Provider TypeOrganizationFull NameNovant Medical Group IncOther Name<Unavail>SubpartNoEnumeration Date2/7/2012Last Updated11/29/2013Contact InformationPractice LocationPractice Address201 Executive Park Blvd, Winston Salem, NC 27103-1503Phone(336) 774-9000Fax(336) 774-9012Mailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447Phone(704) 384-7840FaxUnlisted FaxAuthorized OfficialNameGardner, Geoffrey (Vp Finance, Nmg)Phone(704) 384-9094Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207V00000XDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer