# NOVANT MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Midwifery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114584166
- **Authorized official:** SHALA DAVIS (RCS MANAGER)
- **Authorized official phone:** (704) 303-7517

## Contact information

- **Practice address:** 245 CHARLOIS BLVD STE C, WINSTON SALEM, NC 27103-1507
- **Practice address phone:** (336) 718-6280
- **Practice address fax:** (336) 718-6289
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 08/16/2021