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NOVANT MEDICAL GROUP INC. NPI 1184266843


NPI Information

NPI: 1184266843
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH WAUGHTOWN OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 34D2181980

Address:
656 E MONMOUTH ST
WINSTON SALEM, NC
ZIP 27107
Phone: (336) 718-4380
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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 1184266843. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Waughtown Ob/gyn.

The provider's business location address is:

656 E MONMOUTH ST
WINSTON SALEM, NC
ZIP 27107-227
Phone: (336) 718-4380
Fax: (336) 718-4389

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6081.

The CLIA number assigned to this NPI record is 34D2181980 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/15/2019 and was last updated on 7/12/2023.


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
1207V00000XObstetrics & GynecologyYes

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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