Novant Health Spine Specialists
LBN: Novant Health Medical Group, Llc
Novant Health Spine Specialists is an health care organization with primary practice located at 2801 Randolph Rd Suite 100, Charlotte NC 28211-1051. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Novant Health Medical Group, Llc can be contacted via phone (704) 367-4800, or through Walton, Leea Jeanine via phone (704) 316-6081.
Contact Information
Primary practice address
2801 Randolph Rd Suite 100
Charlotte NC 28211-1051
Phone: (704) 367-4800
Fax: (704) 316-3025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | North Carolina | |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | North Carolina |
Profile Details
| NPI number | 1720041593 |
|---|---|
| LBN Legal business name | Novant Health Medical Group, Llc |
| DBA Doing business as | Novant Health Spine Specialists |
| Authorized official | Walton, Leea Jeanine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jun 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720041593 | NPPES |
| South Carolina | MEDICAID | NPB257 | |
| South Carolina | MEDICAID | 5908811 | |
| South Carolina | Other | K401 | |
| South Carolina | Other | 019H9 |
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