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Contact Information

NOVANT MEDICAL GROUP, INC
301 HAWTHORNE LN STE 200
CHARLOTTE, NC28204-2467
 Phone: 704-384-7606
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Oncology

261QX0200X
Indicates primary specialty

NPI Profile & details for NOVANT MEDICAL GROUP, INC

NPI # 1174036115
LBN Legal business name NOVANT MEDICAL GROUP, INC
Authorized official GEOFFREY GARDNER - (VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2017
Last updated 11/13/2017 - About 9 years ago
Identifiers
NC License # 25806
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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