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Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Maternal and Fetal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
1718 E 4TH ST, SUITE 404, CHARLOTTE, NC 28204-3193
(704) 384-5701
(704) 384-5642
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7680
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
08/16/2021
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