| NPI | 1639759244 |
|---|---|
| Doing Business As | NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Enrollment Coordinator 704-316-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |