NOVANT MEDICAL GROUP, INC. (NOVANT HEALTH STEELECROFT PEDIATRICS) - NPI NUMBER 1275789588
Provider Name: NOVANT MEDICAL GROUP, INC. (NOVANT HEALTH STEELECROFT PEDIATRICS)
NPI Number: 1275789588
Clasification: Pediatrics (208000000X)
13357 STEELCROFT PARKWAY
Phone Number: (704) 316-1080
NOVANT MEDICAL GROUP, INC. is a pediatrician 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. The assigned NPI number for this provider is 1275789588 and is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Steelecroft Pediatrics.
The provider's business address is:
13357 STEELCROFT PARKWAY
Phone: (704) 316-1080
Fax: (704) 316-1085
The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Finance and has the following contact phone number (704) 316-1080.
The enumeration date for this NPI number is 8/18/2008 and was last updated on 7/2/2013.
Map - Location of Practice
||CAROLINAS MEDICAL CENTER
||DR. PAUL M. SMOLEN, MD
||MONICA C. MILLER, MD
||DR. KATHY GARLAND MOHANTY, MD
||DR. CHRISTINA M DOLACK, DO
||LINDA B ROOCHVARG, MD
||NOVANT MEDICAL GROUP INC
Pediatrics (Pediatric Gastroenterology)
The following information regarding the scope of practice of this provider is available:
||Entity Type Code
||Employer Identification Number EIN
||Provider Organization Name Legal Business Name
||NOVANT MEDICAL GROUP, INC.
||Provider Other Organization Name
||NOVANT HEALTH STEELECROFT PEDIATRICS
||Provider Other Organization Name Type Code
||Provider First Line Business Practice Location Address
||13357 STEELCROFT PARKWAY
||Provider Business Practice Location Address City Name
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Business Practice Location Address Fax Number
||Provider Enumeration Date
||Last Update Date
||Authorized Official Last Name
||Authorized Official First Name
||Authorized Official Middle Name
||Authorized Official Title or Position
||Authorized Official Telephone Number
||Healthcare Provider Taxonomy Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Is Organization Subpart
||Healthcare Provider Taxonomy Group 1
||193200000X MULTI-SPECIALTY GROUP
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This page was last updated on: 4/14/2014
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