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NOVANT MEDICAL GROUP INC. NPI 1871747345


NPI Information

NPI: 1871747345
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH HARBORSIDE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D0967255

Address:
133 WELTON WAY
SUITE C
MOORESVILLE, NC
ZIP 28117
Phone: (704) 664-2552
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NOVANT MEDICAL GROUP, INC. is a pediatrics in Mooresville, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NOVANT MEDICAL GROUP, INC. NPI is 1871747345. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Harborside Pediatrics.

The provider's business location address is:

133 WELTON WAY
SUITE C
MOORESVILLE, NC
ZIP 28117-163
Phone: (704) 664-2552
Fax: (704) 664-5382

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 34D0967255 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2008 and was last updated on 7/11/2023.


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
1208000000XPediatricsNORTH CAROLINAYes

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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