Organization · Type 2 NPI

Novant Medical Group, Inc.

Pulmonary Disease Physician · Charlotte, NC

NPI number 1356988778 Active

Practice location

6324 Fairview Rd Ste 400
Charlotte, NC 28210-4278

Call (980) 302-8642 Map

Fax (980) 302-8657

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Critical Care Medicine (Internal Medicine) Physician	207RC0200X	None listed
Pulmonary Disease Physician Primary	207RP1001X	None listed

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

8 other providers at this address

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NPI record

NPI: 1356988778
Entity type: Organization (Type 2)
Issued: Dec 4, 2019
Last updated: Aug 17, 2021
Status: Active

Other names

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Novant Health Pulmonary & Critical Care · doing business as
Novant Health Pulmonary & Critical Care · doing business as

Authorized official

Shala Davis
RCS Manager
(704) 303-7517

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356988778

Novant Medical Group, Inc.'s National Provider Identifier is 1356988778, issued on Dec 4, 2019. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Charlotte, NC. The record was last updated on Aug 17, 2021.