Organization · Type 2 NPI

Novant Health Medical Group NC Coastal Region Specialty, LLC

Surgery Physician · Supply, NC

NPI number 1295633535 Active

Practice location

13 Medical Campus Dr NW Ste 102
Supply, NC 28462-4093

Fax (910) 754-5989

Mailing address

PO Box 604532
Charlotte, NC 28260-4532

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

5 other providers at this address

About NPI 1295633535

Novant Health Medical Group NC Coastal Region Specialty, LLC's National Provider Identifier is 1295633535, issued on Oct 27, 2026. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Supply, NC. The record was last updated on Oct 28, 2026.