Novant Health Northlake Dermatology

LBN: Novant Health Medical Group, Llc
Novant Health Northlake Dermatology is an health care organization with primary practice located at 9604 Holly Point Dr , Huntersville NC 28078-4913. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is the primary health care specialty. Novant Health Medical Group, Llc can be contacted via phone (704) 316-5070, or through Walton, Leea Jeanine via phone (704) 316-6081.

Contact Information

Primary practice address
9604 Holly Point Dr Huntersville NC 28078-4913
Fax: (704) 316-5075
Website:
Authorized official contact:
Name: Walton, Leea Jeanine

Health care specialties

Profile Details

NPI number 1396751640
LBN Legal business name Novant Health Medical Group, Llc
DBA Doing business as Novant Health Northlake Dermatology
Authorized official Walton, Leea Jeanine
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Jun 19th, 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 1396751640 NPPES
North Carolina Other 018GV BCBS
North Carolina MEDICAID NPB181 BCBS
North Carolina MEDICAID 5904331 BCBS

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