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1902485600
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
WILMINGTON, NC
NPI
1902485600
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Entity Type
Organization
Authorized Contact
SHALA DAVIS
Rcs Manager
704-303-7517
Organization Subpart ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
Enumeration Date
2021-04-08
Last Update Date
2023-03-28
Business Address
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
2131 S 17TH ST
WILMINGTON, NC 28401-7407
Phone number: 910-662-9300
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Mailing Address
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
PO BOX 936857
ATLANTA, GA 31193-6857
Phone number: 910-667-7000
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