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NOVANT MEDICAL GROUP INC. NPI 1407369440


NPI Information

NPI: 1407369440
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH PEDIATRICS SYMPHONY PARK

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D2141631

Address:
6010 CARNEGIE BLVD
CHARLOTTE, NC
ZIP 28209
Phone: (704) 384-9966
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NOVANT MEDICAL GROUP, INC. is a pediatrics in Charlotte, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NOVANT MEDICAL GROUP, INC. NPI is 1407369440. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Novant Health Pediatrics Symphony Park.

The provider's business location address is:

6010 CARNEGIE BLVD
CHARLOTTE, NC
ZIP 28209-637
Phone: (704) 384-9966
Fax: (704) 384-9967

The provider's authorized official is Shala Davis .
The authorized official title is Rcs Manager and has the following contact phone number (704) 303-7517.

The CLIA number assigned to this NPI record is 34D2141631 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2017 and was last updated on 8/16/2021.


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
1208000000XPediatricsYes

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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