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Organization
FOUNDATION HEALTH SYSTEMS CORP
Active
Organization
FOUNDATION HEALTH SYSTEMS CORP
Active
Parent organization
FOUNDATION HEALTH SYSTEMS CORP
Other names
Novant Health Sports Performance & Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDATION HEALTH SYSTEMS CORP
Authorized official
SHALA DAVIS (ENROLLMENT MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
7210 VILLAGE MEDICAL CIR STE 115, CLEMMONS, NC 27012-8029
(336) 893-2460
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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