National Provider Identifier Database

NOVANT HEALTH MEDICAL GROUP LLC
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

NOVANT HEALTH MEDICAL GROUP, LLC
1918 RANDOLPH RD STE 700
CHARLOTTE, NC28207-1167
Phone: 704-316-1220
Fax: 704-316-1230
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number 1265488407
Legal business name
LBN
NOVANT HEALTH MEDICAL GROUP, LLC
Authorized official LEEA WALTON - (RCS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/26/2006
Last updated 06/14/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 5900388
  • SC Medicaid: NPB105
  • NC Other: 016XK BCBS

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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