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Organization
NOVANT MEDICAL GROUP, INC
Active
Organization
NOVANT MEDICAL GROUP, INC
Active
Parent organization
NOVANT MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVANT MEDICAL GROUP, INC.
Authorized official
SHALA DAVIS (MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
6324 FAIRVIEW RD STE 202, CHARLOTTE, NC 28210-3271
(704) 316-6493
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/19/2021
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