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Organization
NOVANT MEDICAL GROUP, INC
Active
Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Sleep Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
280 BROAD ST STE A, KERNERSVILLE, NC 27284-2948
(336) 515-7070
(336) 515-7069
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 515-7070
(336) 515-7069
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
08/16/2021
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