NOVANT MEDICAL GROUP INC. NPI 1679012660

NPI Information

NPI: 1679012660
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH PROVIDENCE OB/GYN

Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
6324 FAIRVIEW RD STE 430
CHARLOTTE, NC
ZIP 28210
Phone: (704) 316-3148
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NOVANT MEDICAL GROUP, INC. is an obstetrics obstetrics gynecology in Charlotte, NC. NOVANT MEDICAL GROUP, INC. NPI is 1679012660. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Providence Ob/gyn.

The provider's business location address is:

6324 FAIRVIEW RD STE 430
CHARLOTTE, NC
ZIP 28210-278
Phone: (704) 316-3148
Fax: (704) 316-3149

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 CLIA number assigned to this NPI record is 34D2129103 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/23/2017 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0000X	Obstetrics & Gynecology	Obstetrics			Yes

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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