Novant Medical Group, INC.
Internal Medicine in Durham, NC. Organization (NPI-2).
NPI number1043486483
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1043486483
- Entity type
- Organization (NPI-2)
- Legal business name
- Novant Medical Group, INC.
- Organization subpart
- Yes
- Enumeration date
- May 6, 2008
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Novant Health Durham Internal Medicine Southpoint (Doing Business As)
Practice location
5107 Southpark DrSuite 104
Durham, NC 27713-8400
Phone 919-477-6900 · Fax 919-544-6210
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Phone 919-477-6900 · Fax 919-544-6210
Authorized official
Shala Davis
Rcs Mgr
7043037517
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