Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Pulmonary & Critical Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGEER OF MANAGED CARE)
(704) 316-7845
Entity
Organization
Contact information
Practice address
8201 HEALTHCARE LOOP STE 202, CHARLOTTE, NC 28215-7072
(704) 384-7606
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7606
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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