Novant Health Dilworth Pediatrics

LBN: Novant Health Medical Group, Llc
Novant Health Dilworth Pediatrics is an health care organization with primary practice located at 1315 East Blvd Suite 280, Charlotte NC 28203-5793. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Novant Health Medical Group, Llc can be contacted via phone (704) 384-1866, or through Walton, Leea Jeanine via phone (704) 316-6081.

Contact Information

Primary practice address
1315 East Blvd Suite 280 Charlotte NC 28203-5793
Fax: (704) 384-1867
Website:
Authorized official contact:
Name: Walton, Leea Jeanine

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X North Carolina

Profile Details

NPI number 1356396915
LBN Legal business name Novant Health Medical Group, Llc
DBA Doing business as Novant Health Dilworth Pediatrics
Authorized official Walton, Leea Jeanine
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Jun 20th, 2024 - about 5 months ago

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 1356396915 NPPES
North Carolina Other 015UU BCBS-NC
North Carolina MEDICAID 89015UU BCBS-NC
North Carolina MEDICAID NPB261 BCBS-NC

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