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Novant Health Medical Group, Llc
Clinical Neurophysiology Physician in Charlotte, North Carolina
NPI 1366409492

Novant Health Medical Group, Llc is a Clinical Neurophysiology Physician based in Charlotte, NC and is specialized in Clinical Neurophysiology. Novant Health Medical Group, Llc practices in Charlotte, NC. The NPI Number for Novant Health Medical Group, Llc is 1366409492 and holds a License No. (North Carolina).

The current practice location address for Novant Health Medical Group, Llc is 1900 Randolph Rd Ste 1010, Charlotte, NC and can be reached out via phone at 704-384-1390 and via fax at 704-384-1063.

Location: 1900 Randolph Rd Ste 1010, Charlotte, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366409492
Provider Name
Novant Health Medical Group, Llc
Credential
Provider Entity Type
Organization
Address
1900 Randolph Rd Ste 1010, Charlotte, NC, 28260-0447
Phone Number
704-384-1390
Fax Number
704-384-1063
Provider Enumeration Date
05/01/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NPB151 05 SC
017U7 01 NC BCBS NC
5902989 05 NC
institution
Provider Business Practice Location Address Details
Address
1900 Randolph Rd Ste 1010
City
Charlotte
State
North Carolina
Zip
28207-1117
Phone Number
704-384-1390
Fax Number
704-384-1063
person
Provider Business Mailing Address Details
Address
1900 Randolph Rd Ste 1010
City
Charlotte
State
North Carolina
Zip
28207-1117
Phone Number
704-384-1390
Fax Number
704-384-1063
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neurodevelopmental Disabilities
Taxonomy
2080P0008X
License No.
()
Definition
A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
()
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
(North Carolina)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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