Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Pulmonary & Critical Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGED CARE ENROLLMENT MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
106 LANGTREE VILLAGE DR STE 200, MOORESVILLE, NC 28117-7571
(704) 384-9900
(704) 384-9917
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9900
(704) 384-9917
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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