Azalea Coast Family Medicine

LBN: Novant Medical Group, Inc.
Azalea Coast Family Medicine is an health care organization with primary practice located at 7110 Wrightsville Ave Suite B4, Wilmington NC 28403-7219. 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 (910) 256-2877, or through Pai, Dinesh via phone (704) 384-9104.

Contact Information

Primary practice address
7110 Wrightsville Ave Suite B4 Wilmington NC 28403-7219
Phone: (910) 256-2877
Fax: (910) 256-2928
Website:
Map and Directions
Authorized official contact:
Name: Pai, Dinesh
Phone: (704) 384-9104

Health care specialties

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

Profile Details

NPI number 1750360467
LBN Legal business name Novant Medical Group, Inc.
DBA Doing business as Azalea Coast Family Medicine
Authorized official Pai, Dinesh
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2006
Last updated Jun 8th, 2008 - about 16 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 1750360467 NPPES
North Carolina MEDICAID 5906521
North Carolina Other 019F6

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