Organization · Type 2 NPI

Novant Medical Group, Inc.

Family Medicine Physician · Waxhaw, NC

NPI number 1992276950 Active

Practice location

9929 Rea Rd., Ste 101
Waxhaw, NC 28173-6439

Call (704) 316-1075 Map

Fax (704) 316-1076

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	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.

Other family medicine physician providers in Waxhaw

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NPI record

NPI: 1992276950
Entity type: Organization (Type 2)
Issued: Dec 16, 2018
Last updated: Mar 28, 2019
Status: Active

Other names

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Novant Health Primary Care Marvin Creek · doing business as
Novant Health Primary Care Marvin Creek · doing business as

Authorized official

Shala Davis
Manager
(704) 316-7845

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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 1992276950

Novant Medical Group, Inc.'s National Provider Identifier is 1992276950, issued on Dec 16, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Waxhaw, NC. The record was last updated on Mar 28, 2019.