NOVANT MEDICAL GROUP INC NPI 1295089936

NPI Information

  • NPI: 1295089936
  • Provider Name: NOVANT MEDICAL GROUP, INC
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH MULTIDISCIPLINARY CANCER CLINIC
  • Address: 1718 E 4TH ST STE 105
    CHARLOTTE, NC
    ZIP 28204
  • Phone: (704) 384-5373

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NPI Details

NOVANT MEDICAL GROUP, INC is a medical oncology internal medicine in Charlotte, NC. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. NOVANT MEDICAL GROUP, INC NPI is 1295089936. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Multidisciplinary Cancer Clinic.

The provider's business location address is:

1718 E 4TH ST STE 105
CHARLOTTE, NC
ZIP 28204-193
Phone: (704) 384-5373
Fax: (704) 417-4400

The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Of Nmg Finance and has the following contact phone number (704) 384-5373.

The enumeration date for this NPI number is 11/2/2012 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RX0202XInternal MedicineMedical OncologyNORTH CAROLINAYes

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

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