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NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC NPI 1578158622


NPI Information

NPI: 1578158622
Provider Name: NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC

Doing Business As: NHMGCR ATLANTIC UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 34D1106692

Address:
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC
ZIP 28403
Phone: (910) 662-8765
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NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC is an urology in Wilmington, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC NPI is 1578158622. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nhmgcr Atlantic Urology.

The provider's business location address is:

1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC
ZIP 28403-350
Phone: (910) 662-8765

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 34D1106692 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2021 and was last updated on 7/19/2021.


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
1208800000XUrologyYes

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: 4/28/2024

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