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Organization

NOVANT MEDICAL GROUP, INC.

Active
Other names
Novant Health Pediatric Gastroenterology
Organization subpart
No

Provider details

NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization

Contact information

Practice address
11840 SOUTHMORE DR, SUITE 200, CHARLOTTE, NC 28277-4466
(704) 316-5060
(704) 316-5069
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5060
(704) 316-5069

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary

Other

Enumeration date
01/06/2017
Last updated
08/16/2021
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