# NOVANT MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Rheumatology and Arthritis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194370767
- **Authorized official:** SHALA DAVIS (RCS MANAGER)
- **Authorized official phone:** (704) 303-7517

## Contact information

- **Practice address:** 6324 FAIRVIEW RD STE 330, CHARLOTTE, NC 28210-3260
- **Practice address phone:** (704) 316-1950
- **Practice address fax:** (704) 316-1952
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 316-1950
- **Mailing address fax:** (704) 316-1952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2019
- **Last updated:** 01/31/2022