Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health McKee Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
5501 EXECUTIVE CENTER DR, CHARLOTTE, NC 28212-8866
(980) 302-9304
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
12/08/2020
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