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Contact Information

NOVANT HEALTH MEDICAL GROUP, LLC
1471 JAG BRANCH BLVD UNIT 101
KERNERSVILLE, NC27284-6963
 Phone: 336-718-2560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

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

NPI # 1972468809
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2025
Last updated 12/23/2025 - About 5 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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