Novant Health Medical Group Coastal Region, Llc | |
1520 Physicians Dr Wilmington NC 28401-7356 | |
(910) 662-8300 | |
Not Available |
Full Name | Novant Health Medical Group Coastal Region, Llc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 1520 Physicians Dr, Wilmington, North Carolina |
Authorized Official Name and Position | Shala Davis (ENROLLMENT COORDINATOR) |
Authorized Official Contact | 7043167845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Novant Health Medical Group Coastal Region, Llc Po Box 936857 Atlanta GA 31193-6857 Ph: (910) 662-8300 | Novant Health Medical Group Coastal Region, Llc 1520 Physicians Dr Wilmington NC 28401-7356 Ph: (910) 662-8300 |
NPI Number | 1639759244 |
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Provider Enumeration Date | 04/09/2021 |
Last Update Date | 04/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639759244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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