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NOVANT MEDICAL GROUP INC NPI 1396708582


NPI Information

NPI: 1396708582
Provider Name: NOVANT MEDICAL GROUP INC

Doing Business As: NOVANT HEALTH CARMEL OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
5933 BLAKENEY PARK DR
SUITE 100
CHARLOTTE, NC
ZIP 28277
Phone: (704) 316-2021
Get Directions

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 1396708582. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Carmel Ob/gyn.

The provider's business location address is:

5933 BLAKENEY PARK DR
SUITE 100
CHARLOTTE, NC
ZIP 28277-713
Phone: (704) 316-2021
Fax: (704) 316-2025

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 enumeration date for this NPI number is 4/9/2006 and was last updated on 8/16/2021.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15903032MEDICAIDNORTH CAROLINA
2017TKOTHERNORTH CAROLINABCBS-NC
3CC5118OTHERNORTH CAROLINARAILROAD MEDICARE
4NPB177MEDICAIDSOUTH CAROLINA

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: 11/14/2023

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