Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Pediatric Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
311 CODDLE MARKET DR NW STE 200, CONCORD, NC 28027-2432
(704) 316-5285
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
08/16/2021
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