NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC NPI 1134714298

NPI Information

NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC is a pediatric surgery surgery in Wilmington, NC. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC NPI is 1134714298. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nhmgcr Peds Surgery.

The provider's business location address is:

2131 S 17TH ST
WILMINGTON, NC
ZIP 28401-407
Phone: (910) 667-5830

The provider's authorized official is Shala Davis .
The authorized official title is Rcs Manager and has the following contact phone number (704) 303-7517.

The enumeration date for this NPI number is 3/1/2021 and was last updated on 7/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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