Southeast Children'S Urology

LBN: Novant Medical Group, Inc.
Southeast Children'S Urology is an health care organization with primary practice located at 1401 Matthews Township Pkwy Suite 312, Matthews NC 28105-5402. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is the primary health care specialty. Novant Medical Group, Inc. can be contacted via phone (704) 384-9530, or through Gardner, Geoffrey via phone (704) 384-9094.

Contact Information

Primary practice address
1401 Matthews Township Pkwy Suite 312 Matthews NC 28105-5402
Phone: (704) 384-9530
Fax: (704) 384-9535
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Geoffrey
Phone: (704) 384-9094

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X

Profile Details

NPI number 1699095331
LBN Legal business name Novant Medical Group, Inc.
DBA Doing business as Southeast Children'S Urology
Authorized official Gardner, Geoffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2010
Last updated Jun 4th, 2010 - about 16 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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