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Contact Information

NOVANT MEDICAL GROUP, INC.
13557 STEELECROFT PKWY
SUITE 2200
CHARLOTTE, NC28278-0057
 Phone: 704-316-5160
 Fax: 704-316-5069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NOVANT MEDICAL GROUP, INC.

NPI Number 1770979353
LBN Legal business name NOVANT MEDICAL GROUP, INC.
Authorized official SHALA DAVIS - (RCS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2015
Last updated 08/16/2021 - About 5 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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