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Organization

NOVANT MEDICAL GROUP, INC.

Active
Other names
Novant Health NoDa OBGYN
Organization subpart
No

Provider details

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

Contact information

Practice address
416 E 36TH ST, SUITE 200, CHARLOTTE, NC 28205
(980) 302-9820
(980) 302-9830
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
06/14/2019
Last updated
08/16/2021
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