NOVANT HEALTH MEDICAL GROUP LLC NPI 1518398098

NPI Information

  • NPI: 1518398098
  • Provider Name: NOVANT HEALTH MEDICAL GROUP, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH IRONWOOD FAMILY MEDICINE
  • CLIA Number: 34D2089167
  • Address: 6316 OLD OAK RIDGE RD
    SUITE E
    GREENSBORO, NC
    ZIP 27410
  • Phone: (336) 605-1337

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NPI Details

NOVANT HEALTH MEDICAL GROUP, LLC is a family medicine in Greensboro, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NOVANT HEALTH MEDICAL GROUP, LLC NPI is 1518398098. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Ironwood Family Medicine.

The provider's business location address is:

6316 OLD OAK RIDGE RD
SUITE E
GREENSBORO, NC
ZIP 27410-940
Phone: (336) 605-1337
Fax: (336) 605-3776

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 34D2089167 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 7/9/2024.

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
1207Q00000XFamily MedicineYes

What is NPI?

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

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