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NOVANT MEDICAL GROUP INC NPI 1235479155


NPI Information

NPI: 1235479155
Provider Name: NOVANT MEDICAL GROUP, INC

Doing Business As: NOVANT HEALTH MEMORY CENTER

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 34D2054275

Address:
2801 RANDOLPH RD
SUITE 101
CHARLOTTE, NC
ZIP 28211
Phone: (704) 384-7910
Get Directions

NOVANT MEDICAL GROUP, INC is a neurology psychiatry neurology in Charlotte, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NOVANT MEDICAL GROUP, INC NPI is 1235479155. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Memory Center.

The provider's business location address is:

2801 RANDOLPH RD
SUITE 101
CHARLOTTE, NC
ZIP 28211-051
Phone: (704) 384-7910
Fax: (704) 316-2015

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) 384-9094.

The CLIA number assigned to this NPI record is 34D2054275 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2013 and was last updated on 7/3/2013.


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
12084N0400XPsychiatry & NeurologyNeurologyYes

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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