# NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NHNHRMC PHYSICIAN GROUP COASTAL FAMILY MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134718224
- **Authorized official:** JON KEVIN GRIFFIN (SVP FINANCIAL PLAN AND ANALYSIS)
- **Authorized official phone:** (704) 384-4182

## Contact information

- **Practice address:** 2523 DELANEY AVE, WILMINGTON, NC 28403-6003
- **Practice address phone:** (910) 772-9202
- **Practice address fax:** (910) 772-9452
- **Mailing address:** 101 N CHERRY ST STE 600, WINSTON SALEM, NC 27101-4013
- **Mailing address phone:** (336) 277-1604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2021
- **Last updated:** 01/13/2021