Organization
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Active
Other names
Novant Health Coastal OB/GYN, NHRMC Physician Specialists - OB/GYN Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
2150 SHIPYARD BLVD, WILMINGTON, NC 28403-8052
(910) 662-9300
(910) 662-9400
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
01/31/2023
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