Organization
FOUNDATION HEALTH SYSTEMS, CORP.
Active
Parent organization
FOUNDATION HEALTH SYSTEMS, CORP.
Other names
Novant Health Neurologic Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDATION HEALTH SYSTEMS, CORP.
Authorized official
SHALA DAVIS (ENROLLMENT MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
190 KIMEL PARK DR STE 139, WINSTON SALEM, NC 27103-6946
(336) 718-6931
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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