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Contact Information

NOVANT HEALTH GREENVILLE MEDICAL GROUP, LLC
701 CONGAREE RD
GREENVILLE, SC29607-3519
 Phone: 864-248-4130
 Fax: 864-248-4131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for NOVANT HEALTH GREENVILLE MEDICAL GROUP, LLC

NPI Number 1831079573
LBN Legal business name NOVANT HEALTH GREENVILLE MEDICAL GROUP, LLC
Authorized official LEEA WALTON - (RCS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/04/2025
Last updated 01/05/2026 - About 5 months 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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