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Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
11840 SOUTHMORE DR., CHARLOTTE, NC 28277-4466
(704) 316-4443
(704) 316-4444
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4443
(704) 316-4444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NC
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437534302
—
NC
Enumeration date
07/21/2015
Last updated
08/30/2021
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