Novant Health Family & Internal Medicine South Brunswick

LBN: Novant Health Medical Group, Llc
Novant Health Family & Internal Medicine South Brunswick is an health care organization with primary practice located at 75 Emerson Bay Street Sw Suite 102, Carolina Shores NC 28467-2498. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Novant Health Medical Group, Llc can be contacted via phone (910) 579-8363, or through Walton, Leea Jeanine via phone (704) 316-6081.

Contact Information

Primary practice address
75 Emerson Bay Street Sw Suite 102 Carolina Shores NC 28467-2498
Fax: (910) 579-8306
Website:
Authorized official contact:
Name: Walton, Leea Jeanine

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1548410996
LBN Legal business name Novant Health Medical Group, Llc
DBA Doing business as Novant Health Family & Internal Medicine South Brunswick
Authorized official Walton, Leea Jeanine
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2008
Last updated Jul 9th, 2024 - about 2 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 1548410996 NPPES
North Carolina Other CC5118 RAILROAD MEDICARE
North Carolina MEDICAID 5950530 RAILROAD MEDICARE

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