Organization
NOVANT HEALTH SPORTS & PERFORMANCE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEAIRRA GRIER (ENROLLMENT COORDINATOR)
(980) 302-8357
Entity
Organization
Contact information
Practice address
13245 REESE BLVD W STE 100, HUNTERSVILLE, NC 28078-6390
(704) 316-5096
(704) 316-5097
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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