Novant Health Randolph Ob/Gyn

LBN: Novant Medical Group, Inc.
Novant Health Randolph Ob/Gyn is an health care organization with primary practice located at 2711 Randolph Rd Suite 512, Charlotte NC 28207-2027. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Novant Medical Group, Inc. can be contacted via phone (704) 333-4104, or through Gardner, Geoffrey K. via phone (704) 384-9094.

Contact Information

Primary practice address
2711 Randolph Rd Suite 512 Charlotte NC 28207-2027
Phone: (704) 333-4104
Fax: (704) 358-4544
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Geoffrey K.
Phone: (704) 384-9094

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X North Carolina

Profile Details

NPI number 1780626374
LBN Legal business name Novant Medical Group, Inc.
DBA Doing business as Novant Health Randolph Ob/Gyn
Authorized official Gardner, Geoffrey K.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Jun 21st, 2013 - about 12 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 1780626374 NPPES
North Carolina Other 011V1 BCBS

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