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1144800129
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
WILMINGTON, NC
NPI
1144800129
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Entity Type
Organization
Authorized Contact
SHALA DAVIS
Rcs Manager
704-316-7845
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403-5350
Phone number: 910-662-8765
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Mailing Address
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
PO BOX 936857
ATLANTA, GA 31193-6857
Phone number:
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