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Novant Health Medical Group, LLC

Dermatology in Huntersville, NC. Organization (NPI-2).

NPI number1679295307
StatusActive
Last updated in NPPESJun 24, 2024

Details

NPI
1679295307
Entity type
Organization (NPI-2)
Legal business name
Novant Health Medical Group, LLC
Organization subpart
No
Enumeration date
Sep 19, 2022
Certification date
Jun 24, 2024
Last updated
Jun 24, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes

Other names

  • Nhmg Specialty Clinics (Doing Business As)

Practice location

9604 Holly Point Dr
Huntersville, NC 28078-4913

Phone 704-316-5070 · Fax 704-316-5075

Mailing address

Po Box 60447
Charlotte, NC 28260-0447

Phone 704-316-5070 · Fax 704-316-5075

Authorized official

Leea Jeanine Walton
Rcs Manager
7043166081

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dermatology Physician providers in Huntersville, NC

All 11 Dermatology Physician providers in Huntersville · All 2,111 providers in Huntersville

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