Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Primary Care Parktowne
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
1730 E WOODLAWN RD STE D, CHARLOTTE, NC 28209-2236
(704) 384-9679
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/17/2018
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