Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Women's Sexual Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
6324 FAIRVIEW RD STE 440, CHARLOTTE, NC 28210-4278
(980) 302-8945
(980) 302-8980
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
08/16/2021
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