Organization
NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC
Active
Other names
Episode of Care
Organization subpart
No
Provider details
NPI number
Authorized official
SAAD EHTISHAM (SVP & PRES NHPMC & GCM)
(704) 384-9656
Entity
Organization
Contact information
Practice address
10905 PROVIDENCE RD W, CHARLOTTE, NC 28277
(980) 488-4000
(980) 488-4800
Mailing address
101 N CHERRY ST STE 600, WINSTON SALEM, NC 27101-4013
(336) 277-1604
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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