Novant Health Rock Hill Family Medicine

LBN: Novant Medical Group, Inc.
Novant Health Rock Hill Family Medicine is an health care organization with primary practice located at 1435 Ebenezer Rd , Rock Hill SC 29732-2338. 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) 328-3828, or through Davis, Shala via phone (704) 303-7517.

Contact Information

Primary practice address
1435 Ebenezer Rd Rock Hill SC 29732-2338
Phone: (803) 328-3828
Fax: (803) 328-3879
Website:
Map and Directions
Authorized official contact:
Name: Davis, Shala
Phone: (704) 303-7517

Health care specialties

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

Profile Details

NPI number 1649227083
LBN Legal business name Novant Medical Group, Inc.
DBA Doing business as Novant Health Rock Hill Family Medicine
Authorized official Davis, Shala
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2006
Last updated Aug 16th, 2021 - about 3 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 1649227083 NPPES
South Carolina MEDICAID PA1792

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