Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Pediatric Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
13557 STEELECROFT PKWY, SUITE 2200, CHARLOTTE, NC 28278-0057
(704) 316-5160
(704) 316-5069
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
08/16/2021
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