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Organization
THE PRESBYTERIAN HOSPITAL
Active
Organization
THE PRESBYTERIAN HOSPITAL
Active
Other names
Novant Health Rheumatology and Arthritis
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (CREDENTIALING MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
6324 FAIRVIEW RD STE 310, CHARLOTTE, NC 28210-4172
(704) 316-6565
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-1950
(704) 316-1952
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
NULL
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
10/11/2018
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