Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Addiction Recovery & Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (ENROLLMENT MANAGER)
(704) 316-7845
Entity
Organization
Contact information
Practice address
19485 OLD JETTON RD STE 270, CORNELIUS, NC 28031-6592
(704) 384-7680
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
10/17/2019
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