Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Orthopedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANAGED CARE MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
15033 BALLANCROFT PKWY STE 200, CHARLOTTE, NC 28277-4959
(704) 316-3410
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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