NPI 1114584166
Novant Medical Group, INC.
Practice location
- Address
- 245 Charlois Blvd STE C, Winston Salem, NC 27103-1507
- Phone
- (336) 718-6280
- Fax
- (336) 718-6289
- Mailing address
- PO Box 60447, Charlotte, NC 28260-0447
Authorised official
- Name
- Shala Davis
- Title
- Rcs Manager
- Phone
- (704) 303-7517
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1114584166
- Entity type
- Organization
- NPI issued
- 24 May 2019
- 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.