Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Pediatric Genetics
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (ENROLLMENT DIRECTOR)
(704) 303-7517
Entity
Organization
Contact information
Practice address
201 QUEENS RD, CHARLOTTE, NC 28204-3217
(704) 384-7680
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
06/20/2024
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