Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Family Medicine Residency Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
14230 HUNTERS RD, HUNTERSVILLE, NC 28078-7335
(704) 316-5170
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
02/04/2019
Last updated
02/04/2019
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