Organization · Type 2 NPI

Novant Health Medical Group Coastal Region, LLC

Gynecologic Oncology Physician · Wilmington, NC

NPI number 1053906115 Active

Practice location

2131 S 17th St
Wilmington, NC 28401-7407

Call (910) 667-5830 Map

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician Primary 207VX0201XNone listed

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1053906115

Novant Health Medical Group Coastal Region, LLC's National Provider Identifier is 1053906115, issued on Mar 1, 2021. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Wilmington, NC. The record was last updated on Jul 19, 2021.