Organization
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Active
Other names
Novant Health Medical Group Coastal Region, LLC, NHMGCR Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (ENROLLMENT MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
75 EMERSON BAY RD STE 104, CAROLINA SHORES, NC 28467-2498
(910) 667-4283
(910) 338-0965
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 667-4283
(910) 338-0965
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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