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NOVANT MEDICAL GROUP INC NPI 1700048089


NPI Information

NPI: 1700048089
Provider Name: NOVANT MEDICAL GROUP INC

Doing Business As: NOVANT HEALTH PULMONARY AND SLEEP MEDICINE

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
5145 SELLERS RD
SHALLOTTE, NC
ZIP 28470
Phone: (910) 754-4572
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NOVANT MEDICAL GROUP INC is a pulmonary disease internal medicine in Shallotte, NC. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NOVANT MEDICAL GROUP INC NPI is 1700048089. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Pulmonary And Sleep Medicine.

The provider's business location address is:

5145 SELLERS RD
SHALLOTTE, NC
ZIP 28470-405
Phone: (910) 754-4572
Fax: (910) 754-4580

The provider's authorized official is Geoffrey K. Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (910) 754-4572.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 9/19/2013.


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
1207RP1001XInternal MedicinePulmonary DiseaseNORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15950554MEDICAIDNORTH CAROLINA
22319872MEDICARE PINNORTH 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: 5/5/2024

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