NOVANT MEDICAL GROUP INC NPI 1083986111

NPI Information

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 1083986111. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Triad Obstetrics & Gynecology.

The provider's business location address is:

2909 MAPLEWOOD AVENUE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 277-0340
Fax: (336) 277-0359

The provider's authorized official is Shala Davis .
The authorized official title is Rcs Manager and has the following contact phone number (704) 303-7517.

The CLIA number assigned to this NPI record is 34D2037175 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/6/2012 and was last updated on 8/16/2021.

Taxonomy Codes

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Other Identifiers

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