NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC NPI 1164250031

NPI Information

  • NPI: 1164250031
  • Provider Name: NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 1726 NEW HANOVER MEDICAL PARK DR
    WILMINGTON, NC
    ZIP 28403
  • Phone: (910) 662-9384

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NPI Details

NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC is a surgery in Wilmington, NC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC NPI is 1164250031. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1726 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC
ZIP 28403-344
Phone: (910) 662-9384
Fax: (910) 667-2566

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Enrollment Manager and has the following contact phone number (336) 515-7085.

The enumeration date for this NPI number is 7/23/2024 and was last updated on 7/23/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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