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Organization

NOVANT MEDICAL GROUP, INC

Active
Other names
Novant Health Sleep Medicine
Organization subpart
No

Provider details

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

Contact information

Practice address
280 BROAD ST STE A, KERNERSVILLE, NC 27284-2948
(336) 515-7070
(336) 515-7069
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 515-7070
(336) 515-7069

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
11/16/2017
Last updated
08/16/2021
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