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Contact Information

NOVANT HEALTH MEDICAL GROUP, LLC
11840 SOUTHMORE DR STE 201
CHARLOTTE, NC28277-0785
 Phone: 704-316-1220
 Fax: 704-316-1230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NOVANT HEALTH MEDICAL GROUP LLC · (Female)

NPI Number 1083015028
Status Active
Credentials
Entity Individual
Enumeration date 09/09/2014
Last updated 06/14/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 1083015028
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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