Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Heart and Vascular Institute
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (ASSISTANT DIRECTOR)
(704) 303-7517
Entity
Organization
Contact information
Practice address
15830 BALLANTYNE MEDICAL PL STE 275, CHARLOTTE, NC 28277-4791
(980) 302-8659
(980) 302-8674
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-8659
(980) 302-8674
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/20/2024
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