Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Pulmonary & Critical Care
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 400, CHARLOTTE, NC 28210-4278
(980) 302-8642
(980) 302-8657
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-8642
(980) 302-8657
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
08/17/2021
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