Calabretta Cosmetic Surgery Center

LBN: Novant Medical Group Inc
Calabretta Cosmetic Surgery Center is an health care organization with primary practice located at 1918 Randolph Rd Suite 850, Charlotte NC 28207-1100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Novant Medical Group Inc can be contacted via phone (704) 444-5800, or through Gardner, Geoffrey K. via phone (704) 384-9094.

Contact Information

Primary practice address
1918 Randolph Rd Suite 850 Charlotte NC 28207-1100
Phone: (704) 444-5800
Fax: (704) 444-5819
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Geoffrey K.
Phone: (704) 384-9094

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1366683138
LBN Legal business name Novant Medical Group Inc
DBA Doing business as Calabretta Cosmetic Surgery Center
Authorized official Gardner, Geoffrey K.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2009
Last updated Apr 20th, 2010 - about 14 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 1366683138 NPPES
North Carolina MEDICAID 5911267

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