OrganizationActive
Novant Health Medical Group Coastal Region, LLC
NPI 1053906115 · Gynecologic Oncology Physician · Wilmington, NC
Provider details
- NPI number
- 1053906115
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Shala Davis, Rcs Manager
Mailing address
Po Box 936857
Atlanta, GA 31193-6857
Registry dates
- Enumerated
- 2021-03-01
- Last updated
- 2021-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.