NOVANT HEALTH MEDICAL GROUP LLC NPI 1710228077

NPI Information

  • NPI: 1710228077
  • Provider Name: NOVANT HEALTH MEDICAL GROUP, LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH MINTVIEW OB/GYN
  • CLIA Number: 34D0720068
  • Address: 15830 BALLANTYNE MEDICAL PL STE 275
    CHARLOTTE, NC
    ZIP 28277
  • Phone: (704) 542-0744

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NPI Details

NOVANT HEALTH MEDICAL GROUP, LLC is an obstetrics gynecology in Charlotte, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NOVANT HEALTH MEDICAL GROUP, LLC NPI is 1710228077. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Novant Health Mintview Ob/gyn.

The provider's business location address is:

15830 BALLANTYNE MEDICAL PL STE 275
CHARLOTTE, NC
ZIP 28277-791
Phone: (704) 542-0744
Fax: (704) 543-7713

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Edi Manager and has the following contact phone number (704) 316-6081.

The CLIA number assigned to this NPI record is 34D0720068 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/12/2013 and was last updated on 6/20/2024.

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
1207V00000XObstetrics & GynecologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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