| Novant Health University Internal Medicine & Pediatrics | |
|
10320 Mallard Creek Rd Suite 120 Charlotte NC 28262-5204 | |
| (704) 384-0570 | |
| (704) 384-0571 |
| Full Name | Novant Health University Internal Medicine & Pediatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 10320 Mallard Creek Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Geoffrey Gardner (VP FINANCE) |
| Authorized Official Contact | 7043849144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health University Internal Medicine & Pediatrics Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-0570 | Novant Health University Internal Medicine & Pediatrics 10320 Mallard Creek Rd Suite 120 Charlotte NC 28262-5204 Ph: (704) 384-0570 |
| NPI Number | 1386667368 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 11/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386667368 | NPI | - | NPPES |
| 017WR | Other | NC | BCBS |
| CC5118 | Other | NC | RAILROAD MEDICARE |
| 5903443 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
Novant Health Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Atrium Health Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 | |
Health And Wellness Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 5th St, Suite 214, Charlotte, NC 28202 Phone: 704-909-7954 |