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NOVANT MEDICAL GROUP INC NPI 1992085971


NPI Information

NPI: 1992085971
Provider Name: NOVANT MEDICAL GROUP, INC

Doing Business As: NOVANT HEALTH SOUTH CHARLOTTE ENDOCRINOLOGY

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 34D2028700

Address:
15825 BALLANTYNE MEDICAL PLACE
SUITE 220
CHARLOTTE, NC
ZIP 28277
Phone: (704) 316-2930
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NOVANT MEDICAL GROUP, INC is an endocrinology and diabetes and metabolism internal medicine in Charlotte, NC. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. NOVANT MEDICAL GROUP, INC NPI is 1992085971. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health South Charlotte Endocrinology.

The provider's business location address is:

15825 BALLANTYNE MEDICAL PLACE
SUITE 220
CHARLOTTE, NC
ZIP 28277-147
Phone: (704) 316-2930
Fax: (704) 316-2938

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 34D2028700 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/23/2011 and was last updated on 7/12/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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: 4/28/2024

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