Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Developmental &Behavioral Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGED CARE ENROLLMENT MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
311 CODDLE MARKET DR NW STE 200, CONCORD, NC 28027-2432
(980) 302-9145
(704) 384-0568
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-9145
(704) 384-0568
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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