Verification Lookup Portal
Providers for Novant Health - Production Environment
Novant Health Ballantyne Medical Center
Novant Health Ballantyne Outpatient Surgery
Novant Health Brunswick Endoscopy Center
Novant Health Brunswick Medical Center
Novant Health Clemmons Medical Center
Novant Health Clemmons Outpatient Surgery
Novant Health Forsyth Medical Center
Novant Health Huntersville Medical Center
Novant Health Huntersville Outpatient Surgery
Novant Health Kernersville Medical Center
Novant Health Kernersville Outpatient Surgery
Novant Health Matthews Medical Center
Novant Health Medical Park Hospital
Novant Health Mint Hill Medical Center
Novant Health New Hanover Regional Medical Center
Novant Health Pender Medical Center
Novant Health Presbyterian Medical Center
Novant Health Rowan Medical Center
Novant Health Thomasville Medical Center
Novant Health Wilmington Endoscopy Center
Provider Last Name
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Provider Birthdate
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Requester Name
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Requester Title
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Requester Organization
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Requester Address
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Requester City, State, Zip
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Requester Phone
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Requester Email
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I agree and acknowledge that I possess a signed release and immunity statement signed by the practitioner for which I am obtaining hospital verification information. Such signed release and immunity holds harmless and indemnifies NOVANT HEALTH and individuals providing information pursuant to this request, its medical staff, board of directors and each of their respective members and designees, the administration of such NOVANT HEALTH and its directors, officers, employees, representatives and agents, and each of them from any and all claims, demands or actions with respect to all acts, including without limitation, communications, reports, recommendations, or disclosures performed or made in connection with the request for the release of information pertaining to the practitioner's hospital affiliation with NOVANT HEALTH.
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Provider Last Name
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