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1477282572
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
SHALLOTTE, NC
NPI
1477282572
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Entity Type
Organization
Authorized Contact
SHALA DAVIS
Enrollment Director
704-303-7517
Organization Subpart ?
No
Primary Taxonomy
207RP1001X Internal Medicine Pulmonary Disease
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
512 VILLAGE RD STE 101
SHALLOTTE, NC 28470-3420
Phone number: 910-721-4390
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Mailing Address
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
PO BOX 936857
ATLANTA, GA 31193-6857
Phone number: 910-721-4390
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