Novant Health Durham Internal Medicine Southpoint

LBN: Novant Medical Group, Inc.
Novant Health Durham Internal Medicine Southpoint is an health care organization with primary practice located at 5107 Southpark Dr Suite 104, Durham NC 27713-8400. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Novant Medical Group, Inc. can be contacted via phone (919) 477-6900, or through Davis, Shala via phone (704) 303-7517.

Contact Information

Primary practice address
5107 Southpark Dr Suite 104 Durham NC 27713-8400
Phone: (919) 477-6900
Fax: (919) 544-6210
Website:
Map and Directions
Authorized official contact:
Name: Davis, Shala
Phone: (704) 303-7517

Health care specialties

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

Profile Details

NPI number 1043486483
LBN Legal business name Novant Medical Group, Inc.
DBA Doing business as Novant Health Durham Internal Medicine Southpoint
Authorized official Davis, Shala
Entity Organization
Organization subpart 1 Yes
Enumeration date May 6th, 2008
Last updated Aug 18th, 2021 - about 5 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 1043486483 NPPES
North Carolina MEDICAID 5908373

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