Organization
NOVANT MEDICAL GROUP, INC.
Active
Parent organization
NOVANT MEDICAL GROUP, INC.
Other names
Novant Health Cancer Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVANT MEDICAL GROUP, INC.
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
6324 FAIRVIEW RD STE 420, CHARLOTTE, NC 28210-3372
(980) 302-8840
(980) 302-8865
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
08/18/2021
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