Novant Health Fort Mill Family Medicine

LBN: Novant Medical Group, Inc.
Novant Health Fort Mill Family Medicine is an health care organization with primary practice located at 1690 Highway 160 W , Fort Mill SC 29708-8024. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Novant Medical Group, Inc. can be contacted via phone (803) 547-7541, or through Gardner, Geoffrey via phone (704) 384-9094.

Contact Information

Primary practice address
1690 Highway 160 W Fort Mill SC 29708-8024
Phone: (803) 547-7541
Fax: (803) 548-0122
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Geoffrey
Phone: (704) 384-9094

Health care specialties

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

Profile Details

NPI number 1205899861
LBN Legal business name Novant Medical Group, Inc.
DBA Doing business as Novant Health Fort Mill Family Medicine
Authorized official Gardner, Geoffrey
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2006
Last updated Jun 27th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205899861 NPPES
South Carolina MEDICAID GP4288

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