Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY STE 320, MATTHEWS, NC 28105-2389
(980) 302-8840
(980) 302-8865
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
08/18/2021
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