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NOVANT MEDICAL GROUP INC NPI 1720228158


NPI Information

NPI: 1720228158
Provider Name: NOVANT MEDICAL GROUP INC

Doing Business As: NOVANT HEALTH METCALF RHEUMATOLGY

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
1900 S HAWTHORNE RD
SUITE 652
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 768-6161
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NOVANT MEDICAL GROUP INC is a rheumatology internal medicine in Winston Salem, NC. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. NOVANT MEDICAL GROUP INC NPI is 1720228158. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Metcalf Rheumatolgy.

The provider's business location address is:

1900 S HAWTHORNE RD
SUITE 652
WINSTON SALEM, NC
ZIP 27103-901
Phone: (336) 768-6161
Fax: (336) 277-0366

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 enumeration date for this NPI number is 2/25/2009 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
1207RR0500XInternal MedicineRheumatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12319872MEDICARE PINNORTH CAROLINA

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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