Organization
NOVANT MEDICAL GROUP INC.
Active
Other names
Novant Health Triad Endocrine
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGER OF MANAGED CARE ENROLLMENT)
(704) 316-7845
Entity
Organization
Contact information
Practice address
6316 OLD OAK RIDGE RD STE E, GREENSBORO, NC 27410-9940
(336) 992-1351
(336) 992-1361
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 992-1351
(336) 992-1361
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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