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NOVANT MEDICAL GROUP INC NPI 1063906089


NPI Information

NPI: 1063906089
Provider Name: NOVANT MEDICAL GROUP, INC

Doing Business As: NOVANT HEALTH CANCER INSTITUTE

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 34D2157198

Address:
8201 HEALTHCARE LOOP STE 201
CHARLOTTE, NC
ZIP 28215
Phone: (980) 302-2000
Get Directions

NOVANT MEDICAL GROUP, INC is a hematology and oncology internal medicine in Charlotte, 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. NOVANT MEDICAL GROUP, INC NPI is 1063906089. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Cancer Institute.

The provider's business location address is:

8201 HEALTHCARE LOOP STE 201
CHARLOTTE, NC
ZIP 28215-072
Phone: (980) 302-2000
Fax: (980) 302-2020

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 34D2157198 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/22/2018 and was last updated on 7/10/2023.


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
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

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