Organization
NOVANT HEALTH DAVIS MEDICAL CENTER, LLC
Active
Other names
Davis Regional Medical Center - Psych Unit
Organization subpart
No
Provider details
NPI number
Authorized official
SAAD EHTISHAM (SVP & PRESIDENT NHPMC & GCM)
(704) 384-9656
Entity
Organization
Contact information
Practice address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 838-7102
Mailing address
101 N CHERRY ST STE 600, WINSTON SALEM, NC 27101-4013
(336) 277-1604
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
07/10/2024
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