Provider Type Icon

NMG AFFILIATE PRACTICE I LLC NPI 1538478813


NPI Information

NPI: 1538478813
Provider Name: NMG AFFILIATE PRACTICE I, LLC

Doing Business As: NOVANT HEALTH ONCOLOGY SPECIALISTS

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 34D2275347

Address:
1913 W PARK DR
NORTH WILKESBORO, NC
ZIP 28659
Phone: (336) 903-6362
Get Directions

NMG AFFILIATE PRACTICE I, LLC is a hematology and oncology internal medicine in North Wilkesboro, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. NMG AFFILIATE PRACTICE I, LLC NPI is 1538478813. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Oncology Specialists.

The provider's business location address is:

1913 W PARK DR
NORTH WILKESBORO, NC
ZIP 28659-564
Phone: (336) 903-6362
Fax: (336) 903-6354

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

The CLIA number assigned to this NPI record is 34D2275347 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2010 and was last updated on 5/14/2015.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

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: 5/5/2024

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.