Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Psychiatric Integrated Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
335 N CASWELL RD, CHARLOTTE, NC 28204-2470
(704) 384-7980
(704) 384-7985
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7980
(704) 384-7985
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
08/17/2021
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