| Novant Health Medical Group Coastal Region, Llc | |
|
1721 Allens Ln Ste 100 Wilmington NC 28403-3662 | |
| (910) 344-8900 | |
| Not Available |
| Full Name | Novant Health Medical Group Coastal Region, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1721 Allens Ln Ste 100, Wilmington, North Carolina |
| Authorized Official Name and Position | Shala Davis (RCS MANAGER) |
| Authorized Official Contact | 7043167845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Medical Group Coastal Region, Llc Po Box 936857 Atlanta GA 31193-6857 Ph: () - | Novant Health Medical Group Coastal Region, Llc 1721 Allens Ln Ste 100 Wilmington NC 28403-3662 Ph: (910) 344-8900 |
| NPI Number | 1326628306 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326628306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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