Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGED CARE ASSISTANT DIRECTOR)
(704) 303-7517
Entity
Organization
Contact information
Practice address
2100 S TRYON ST, STE 201, CHARLOTTE, NC 28203-4958
(704) 316-3000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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