NOVANT MEDICAL GROUP INC NPI 1174991871

NPI Information

NOVANT MEDICAL GROUP, INC is an obstetrics gynecology in Charlotte, 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 1174991871. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Midtown Ob/gyn.

The provider's business location address is:

6324 FAIRVIEW RD
SUITE 390
CHARLOTTE, NC
ZIP 28210-271
Phone: (704) 316-5270
Fax: (704) 316-5271

The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (704) 384-7606.

The CLIA number assigned to this NPI record is 34D2118716 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2015 and was last updated on 9/11/2015.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.