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NOVANT MEDICAL GROUP INC. NPI 1750360467


NPI Information

NPI: 1750360467
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: AZALEA COAST FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7110 WRIGHTSVILLE AVE
SUITE B4
WILMINGTON, NC
ZIP 28403
Phone: (910) 256-2877
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NOVANT MEDICAL GROUP, INC. is a family medicine in Wilmington, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NOVANT MEDICAL GROUP, INC. NPI is 1750360467. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Azalea Coast Family Medicine.

The provider's business location address is:

7110 WRIGHTSVILLE AVE
SUITE B4
WILMINGTON, NC
ZIP 28403-219
Phone: (910) 256-2877
Fax: (910) 256-2928

The provider's authorized official is Dinesh Pai .
The authorized official title is Vp Of Operations and has the following contact phone number (704) 384-9104.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 6/8/2008.


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
1207Q00000XFamily MedicineYes

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
12322229GMEDICARE PINNORTH CAROLINA
25906521MEDICAIDNORTH CAROLINA
3019F6OTHERNORTH CAROLINABCBS NC

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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