OrganizationActive
Novant Health Medical Group Coastal Region, LLC
NPI 1134714298 · Pediatric Surgery Physician · Wilmington, NC
Provider details
- NPI number
- 1134714298
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shala Davis, Rcs Manager(704) 303-7517
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 667-5830
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 936857
Atlanta, GA 31193-6857
Other names (DBA / former)
- Doing business as
- Nhmgcr Peds Surgery
- Doing business as
- Nhmgcr Peds Surgery
Registry dates
- Enumerated
- 2021-03-01
- Last updated
- 2021-07-19
- Certified
- 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.