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Organization

NOVANT MEDICAL GROUP, INC

Active
Other names
Novant Health Maternal-Fetal Medicine
Organization subpart
No

Provider details

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

Contact information

Practice address
19475 OLD JETTON RD, CORNELIUS, NC 28031-6591
(704) 384-5701
(704) 384-5642
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5701
(704) 384-5642

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary

Other

Enumeration date
07/31/2012
Last updated
08/16/2021
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