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Contact Information

NOVANT MEDICAL GROUP, INC.
1420 US HIGHWAY NORTH 52
SUITE B
ALBEMARLE, NC28001
 Phone: 704-638-4361
 Fax: 704-638-4362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for NOVANT MEDICAL GROUP, INC.

NPI Number 1053785220
LBN Legal business name NOVANT MEDICAL GROUP, INC.
Authorized official GEOFFREY GARDNER - (VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/25/2015
Last updated 11/25/2015 - About 11 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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