| Novant Medical Group, Inc. | |
|
5380 Us Highway 158 Ste 110 Advance NC 27006-6979 | |
| (336) 893-3225 | |
| (336) 893-3219 |
| Full Name | Novant Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5380 Us Highway 158 Ste 110, Advance, 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 Medical Group, Inc. Po Box 60447 Charlotte NC 28260-0447 Ph: () - | Novant Medical Group, Inc. 5380 Us Highway 158 Ste 110 Advance NC 27006-6979 Ph: (336) 893-3225 |
| NPI Number | 1417420795 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417420795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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