NPI 1497340327
Novant Health Medical Group Coastal Region, LLC
Practice location
- Address
- 1912 Tradd CT, Wilmington, NC 28401-6637
- Phone
- (910) 815-5982
- Mailing address
- PO Box 936857, Atlanta, GA 31193-6857
Authorised official
- Name
- Shala Davis
- Title
- Rcs Manager
- Phone
- (704) 303-7517
Registered specialties
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Registry record
- NPI
- 1497340327
- Entity type
- Organization
- NPI issued
- 3 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.