NPI 1053906115

Novant Health Medical Group Coastal Region, LLC

Organisation Gynecologic Oncology Physician Wilmington, NC

Practice location

Address: 2131 S 17th St, Wilmington, NC 28401-7407
Phone: (910) 667-5830
Mailing address: PO Box 936857, Atlanta, GA 31193-6857

Authorised official

Name: Shala Davis
Title: Rcs Manager
Phone: (704) 303-7517

Registered specialties

Gynecologic Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VX0201X

Other Obstetrics & Gynecology providers in North Carolina →

Registry record

NPI: 1053906115
Entity type: Organization
NPI issued: 1 Mar 2021
Record last updated: 19 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.