Organization
NOVANT HEALTH, INC.
Active
Other names
Novant Health Red Ventures Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (ENROLLMENT MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
1423 RED VENTURES DR, FORT MILL, SC 29707-5019
(803) 992-8030
(803) 992-8031
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/12/2020
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