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Organization

NOVANT MEDICAL GROUP, INC.

Active
Parent organization
NOVANT MEDICAL GROUP, INC.
Other names
Novant Health Pediatric Rehabilitation
Organization subpart
Yes

Provider details

NPI number
Legal business name
NOVANT MEDICAL GROUP, INC.
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization

Contact information

Practice address
2711 RANDOLPH RD STE 100, CHARLOTTE, NC 28207-2027
(980) 302-8271
(980) 302-8285
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary

Other

Enumeration date
04/30/2020
Last updated
08/16/2021
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