Novant Health Granite Quarry Internal Medicine & Pediatrics

LBN: Novant Medical Group Inc
Novant Health Granite Quarry Internal Medicine & Pediatrics is an health care organization with primary practice located at 111 S Salisbury Gq Ave , Salisbury NC 28146-8150. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Novant Medical Group Inc can be contacted via phone (704) 279-1679, or through Walton, Leea Jeanine via phone (704) 316-6081.

Contact Information

Primary practice address
111 S Salisbury Gq Ave Salisbury NC 28146-8150
Phone: (704) 279-1679
Fax: (704) 279-1677
Website:
Map and Directions
Authorized official contact:
Name: Walton, Leea Jeanine
Phone: (704) 316-6081

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X North Carolina

Profile Details

NPI number 1104152024
LBN Legal business name Novant Medical Group Inc
DBA Doing business as Novant Health Granite Quarry Internal Medicine & Pediatrics
Authorized official Walton, Leea Jeanine
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 28th, 2009
Last updated Jul 10th, 2023 - about 2 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104152024 NPPES
North Carolina MEDICAID 5913612

Popular Providers