# NOVANT MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Maternal-Fetal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033566526
- **Authorized official:** SHALA DAVIS (RCS MANAGER)
- **Authorized official phone:** (704) 303-7517

## Contact information

- **Practice address:** 1450 MATTHEWS TOWNSHIP PKWY, SUITE 410, MATTHEWS, NC 28105-2387
- **Practice address phone:** (704) 384-7680
- **Practice address fax:** (704) 316-7106
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 384-7680
- **Mailing address fax:** (704) 316-7106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2016
- **Last updated:** 08/16/2021