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NOVANT MEDICAL GROUP INC NPI 1841427200


NPI Information

NPI: 1841427200
Provider Name: NOVANT MEDICAL GROUP INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
114 CHARLOIS BLVD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-5470
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NOVANT MEDICAL GROUP INC is an obstetrics gynecology in Winston Salem, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NOVANT MEDICAL GROUP INC NPI is 1841427200. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

114 CHARLOIS BLVD
WINSTON SALEM, NC
ZIP 27103-522
Phone: (336) 765-5470
Fax: (336) 765-5428

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6081.

The enumeration date for this NPI number is 6/12/2009 and was last updated on 7/12/2023.


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
1207V00000XObstetrics & GynecologyYes

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
15912104MEDICAIDNORTH CAROLINA
21841427200OTHERNORTH 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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