Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Neurology and Sleep
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
330 BILLINGSLEY RD STE 202, CHARLOTTE, NC 28211-5020
(704) 384-8696
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7680
(704) 417-4398
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
09/20/2018
Last updated
08/17/2021
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