| NPI | 1255470274 |
|---|---|
| Doing Business As | NORTHGATE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY GARDNER VP Of Operations 704-384-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-07-19 |