Organization
NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Active
Other names
NHNHRMC PHYSICIAN GROUP MAXILLOFACIAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
JON KEVIN GRIFFIN (SVP FINANCIAL PLAN AND ANALYSIS)
(704) 384-4182
Entity
Organization
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 772-9202
(910) 772-9452
Mailing address
101 N CHERRY ST STE 600, WINSTON SALEM, NC 27101-4013
(336) 277-1604
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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