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Contact Information

NOVANT MEDICAL GROUP, INC
6331 CARMEL RD STE 102
CHARLOTTE, NC28226
 Phone: 704-384-0567
 Fax: 704-384-0568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NOVANT MEDICAL GROUP, INC

NPI Number 1104162932
LBN Legal business name NOVANT MEDICAL GROUP, INC
Authorized official GEOFFREY GARDNER - (VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/26/2012
Last updated 09/04/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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