| Novant Health Pediatric Neurology | |
|
1918 Randolph Rd Ste 320 Charlotte NC 28207-1109 | |
| (704) 384-1390 | |
| (704) 384-1063 |
| Full Name | Novant Health Pediatric Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 1918 Randolph Rd Ste 320, Charlotte, 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: (704) 384-1390 | Novant Health Pediatric Neurology 1918 Randolph Rd Ste 320 Charlotte NC 28207-1109 Ph: (704) 384-1390 |
| NPI Number | 1033675079 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033675079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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