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Organization

NOVANT MEDICAL GROUP, INC.

Active
Other names
Novant Health Cancer Institute
Organization subpart
No

Provider details

NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization

Contact information

Practice address
3515 W MARKET ST STE 310, GREENSBORO, NC 27403-4442
(336) 564-4170
(336) 564-4936
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary

Other

Enumeration date
05/01/2019
Last updated
08/18/2021
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