Novant Health Northlake Dermatology
LBN: Novant Health Medical Group, Llc
Novant Health Northlake Dermatology is an health care organization with primary practice located at 9604 Holly Point Dr , Huntersville NC 28078-4913. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is the primary health care specialty.
Novant Health Medical Group, Llc can be contacted via phone (704) 316-5070, or through Walton, Leea Jeanine via phone (704) 316-6081.
Contact Information
Primary practice address
9604 Holly Point Dr
Huntersville NC 28078-4913
Phone: (704) 316-5070
Fax: (704) 316-5075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X |
Profile Details
| NPI number | 1396751640 |
|---|---|
| LBN Legal business name | Novant Health Medical Group, Llc |
| DBA Doing business as | Novant Health Northlake Dermatology |
| Authorized official | Walton, Leea Jeanine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jun 19th, 2024 - about last year |
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 | 1396751640 | NPPES |
| North Carolina | Other | 018GV | BCBS |
| North Carolina | MEDICAID | NPB181 | BCBS |
| North Carolina | MEDICAID | 5904331 | BCBS |
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