Mid Carolina Cardiology
LBN: Novant Medical Group, Inc.
Mid Carolina Cardiology is an health care organization with primary practice located at 1450 Matthews Township Pkwy Suite 380, Matthews NC 28105-2387. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Novant Medical Group, Inc. can be contacted via phone (704) 841-0772, or through Gardner, Geoffrey via phone (704) 384-9094.
Contact Information
Primary practice address
1450 Matthews Township Pkwy Suite 380
Matthews NC 28105-2387
Phone: (704) 841-0772
Fax: (704) 841-0775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X |
Profile Details
| NPI number | 1932109469 |
|---|---|
| LBN Legal business name | Novant Medical Group, Inc. |
| DBA Doing business as | Mid Carolina Cardiology |
| Authorized official | Gardner, Geoffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Jul 19th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932109469 | NPPES |
| South Carolina | MEDICAID | NPA577 | |
| South Carolina | MEDICAID | 5908575 | |
| South Carolina | Other | DG5273 | |
| South Carolina | Other | 019H6 |
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