Novant Health Indian Land Primary Care

LBN: Novant Health Medical Group, Llc
Novant Health Indian Land Primary Care is an health care organization with primary practice located at 6237 Carolina Commons Dr Suite 101, Indian Land SC 29707-6014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Novant Health Medical Group, Llc can be contacted via phone (803) 548-9393, or through Davis, Shala via phone (704) 303-7517.

Contact Information

Primary practice address
6237 Carolina Commons Dr Suite 101 Indian Land SC 29707-6014
Phone: (803) 548-9393
Fax: (803) 548-9590
Website:
Map and Directions
Authorized official contact:
Name: Davis, Shala
Phone: (704) 303-7517

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1245335421
LBN Legal business name Novant Health Medical Group, Llc
DBA Doing business as Novant Health Indian Land Primary Care
Authorized official Davis, Shala
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 9th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245335421 NPPES
South Carolina MEDICAID GP4510

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