Novant Health Medical Group Coastal Region, LLC
Obstetrics & Gynecology in Wilmington, NC. Organization (NPI-2).
NPI number1962097006
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1962097006
- Entity type
- Organization (NPI-2)
- Legal business name
- Novant Health Medical Group Coastal Region, LLC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2021
- Certification date
- Jul 19, 2021
- Last updated
- Jul 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Other names
- Nhmgcr Afm (Doing Business As)
Practice location
2150 Shipyard BlvdWilmington, NC 28403-8052
Phone 910-662-9480 · Fax 910-332-5666
Mailing address
Po Box 936857Atlanta, GA 31193-6857
Authorized official
Shala Davis
Rcs Manager
7043037517
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