Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Brain and Spine Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
1900 RANDOLPH RD STE 1010, CHARLOTTE, NC 28207-1117
(704) 316-3070
(704) 316-3071
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
08/16/2021
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