Organization · Type 2 NPI

Novant Medical Group Inc

Family Medicine Physician · Salisbury, NC

NPI number 1104152024 Active

Practice location

111 S Salisbury Gq Ave
Salisbury, NC 28146-8150

Call (704) 279-1679 Map

Fax (704) 279-1677

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Pediatrics Physician	208000000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Salisbury

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NPI record

NPI: 1104152024
Entity type: Organization (Type 2)
Issued: Oct 28, 2009
Last updated: Jul 10, 2023
Status: Active
Subpart: Yes of Novant Medical Group, Inc

Other names

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Novant Health Granite Quarry Internal Medicine & Pediatrics · doing business as
Novant Health Granite Quarry Internal Medicine & Pediatrics · doing business as

Authorized official

Leea Jeanine Walton
RCS Manager
(704) 316-6081

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104152024

Novant Medical Group Inc's National Provider Identifier is 1104152024, issued on Oct 28, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Salisbury, NC. The record was last updated on Jul 10, 2023.