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Organization
NOVANT MEDICAL GROUP INC.
Active
Organization
NOVANT MEDICAL GROUP INC.
Active
Other names
Novant Health Triad Endocrine
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGER OF MANAGED CARE ENROLLMENT)
(704) 316-7845
Entity
Organization
Contact information
Practice address
6316 OLD OAK RIDGE RD STE E, GREENSBORO, NC 27410-9940
(336) 992-1351
(336) 992-1361
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 992-1351
(336) 992-1361
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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