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NOVANT MEDICAL GROUP INC NPI 1104162932


NPI Information

NPI: 1104162932
Provider Name: NOVANT MEDICAL GROUP, INC

Doing Business As: NOVANT HEALTH DEVELOPMENTAL & BEHAVIORAL PEDIATRICS

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
6331 CARMEL RD STE 102
CHARLOTTE, NC
ZIP 28226
Phone: (704) 384-0567
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NOVANT MEDICAL GROUP, INC is a developmental - behavioral pediatrics pediatrics in Charlotte, NC. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. NOVANT MEDICAL GROUP, INC NPI is 1104162932. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Developmental & Behavioral Pediatrics.

The provider's business location address is:

6331 CARMEL RD STE 102
CHARLOTTE, NC
ZIP 28226
Phone: (704) 384-0567
Fax: (704) 384-0568

The provider's authorized official is Geoffrey K. Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (704) 316-1155.

The enumeration date for this NPI number is 12/26/2012 and was last updated on 9/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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