Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
6331 CARMEL RD STE 102, CHARLOTTE, NC 28226-8246
(704) 384-9679
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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