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NOVANT MEDICAL GROUP INC NPI 1063963080


NPI Information

NPI: 1063963080
Provider Name: NOVANT MEDICAL GROUP, INC

Doing Business As: NOVANT HEALTH UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1730 KERNERSVILLE MEDICAL PKWY STE 303
KERNERSVILLE, NC
ZIP 27284
Phone: (336) 564-4430
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NOVANT MEDICAL GROUP, INC is an urology in Kernersville, 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 MEDICAL GROUP, INC NPI is 1063963080. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Urology.

The provider's business location address is:

1730 KERNERSVILLE MEDICAL PKWY STE 303
KERNERSVILLE, NC
ZIP 27284-198
Phone: (336) 564-4430
Fax: (336) 993-0826

The provider's authorized official is Geoff K Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (704) 384-9672.

The enumeration date for this NPI number is 10/14/2016 and was last updated on 7/21/2022.


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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