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NMG AFFILATE PRACTICE I LLC NPI 1689077539


NPI Information

NPI: 1689077539
Provider Name: NMG AFFILATE PRACTICE I LLC

Doing Business As: NOVANT HEALTH ONCOLOGY SPECIALISTS

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
516 S VAN BUREN RD
EDEN, NC
ZIP 27288
Phone: (336) 623-9713
Get Directions

NMG AFFILATE PRACTICE I LLC is a hematology and oncology internal medicine in Eden, 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. NMG AFFILATE PRACTICE I LLC NPI is 1689077539. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Oncology Specialists.

The provider's business location address is:

516 S VAN BUREN RD
EDEN, NC
ZIP 27288-019
Phone: (336) 623-9713
Fax: (336) 623-1031

The provider's authorized official is Geoffrey Keith Gardner .
The authorized official title is Vp Finance and has the following contact phone number (704) 384-7603.

The enumeration date for this NPI number is 10/7/2014 and was last updated on 5/14/2015.


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
1207RX0202XInternal MedicineMedical OncologyNo
2207VX0201XObstetrics & GynecologyGynecologic OncologyNo
3207RH0003XInternal MedicineHematology & OncologyYes

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
11689077539MEDICAIDNORTH 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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