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Contact Information

NOVANT MEDICAL GROUP, INC.
1718 E 4TH ST
SUITE 404
CHARLOTTE, NC28204-3193
 Phone: 704-384-5701
 Fax: 704-384-5642
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for NOVANT MEDICAL GROUP, INC.

NPI Number 1235187543
LBN Legal business name NOVANT MEDICAL GROUP, INC.
Authorized official SHALA DAVIS - (RCS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2006
Last updated 08/16/2021 - About 5 years ago
Identifiers
NC Medicaid 5903442
SC Medicaid NPB169
NC Other 017YP BCBS NC
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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