NPI 1073023503
Novant Medical Group, INC.
Practice location
- Address
- 1900 Randolph Rd STE 1010, Charlotte, NC 28207-1117
- Phone
- (704) 316-3070
- Fax
- (704) 316-3071
- Mailing address
- PO Box 60447, Charlotte, NC 28260-0447
Authorised official
- Name
- Shala Davis
- Title
- Rcs Manager
- Phone
- (704) 303-7517
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1073023503
- Entity type
- Organization
- NPI issued
- 11 Oct 2017
- Record last updated
- 16 Aug 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.