Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Rock Hill Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
1435 EBENEZER RD, ROCK HILL, SC 29732-2338
(803) 328-3828
(803) 328-3879
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(803) 328-3828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA1792
—
SC
Enumeration date
05/30/2006
Last updated
08/16/2021
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