Organization
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Active
Other names
Novant Health Pulmonary & Sleep Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (ENROLLMENT DIRECTOR)
(704) 303-7517
Entity
Organization
Contact information
Practice address
512 VILLAGE RD STE 101, SHALLOTTE, NC 28470-3420
(910) 721-4390
(910) 721-4399
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 721-4390
(910) 721-4399
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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