| Novant Health Pediatric Neurology | |
|
311 Coddle Market Dr Nw Ste 200 Concord NC 28027-2432 | |
| (704) 384-1390 | |
| (704) 384-1063 |
| Full Name | Novant Health Pediatric Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 311 Coddle Market Dr Nw, Concord, North Carolina |
| Authorized Official Name and Position | Shala Davis (RCS MANAGER) |
| Authorized Official Contact | 7043037517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Pediatric Neurology Po Box 60447 Charlotte NC 28260-0447 Ph: () - | Novant Health Pediatric Neurology 311 Coddle Market Dr Nw Ste 200 Concord NC 28027-2432 Ph: (704) 384-1390 |
| NPI Number | 1164987616 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164987616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
Milestones Of North Carolina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Church St Ne, Concord, NC 28025 Phone: 704-788-4444 Fax: 704-788-4449 | |
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