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Contact Information

NOVANT HEALTH MEDICAL GROUP, LLC
15033 BALLONCROFT PARKWAY
SUITE 200
CHARLOTTE, NC28277
 Phone: 704-316-2920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number 1255825410
LBN Legal business name NOVANT HEALTH MEDICAL GROUP, LLC
Authorized official LEEA WALTON - (RCS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2018
Last updated 07/09/2024 - More than a year 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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