Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Novant Health Medical Group Coastal Region, LLC

Organization Gynecologic Oncology Physician · NPI 1053906115

Novant Health Medical Group Coastal Region, LLC is a Gynecologic Oncology Physician in Wilmington, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 667-5830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X

Record details

NPI number1053906115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 303-7517
Other names Nhmgcr Gyn Onc; Nhmgcr Gyn Onc
NPI enumeratedMarch 1, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing addressPo Box 936857, Atlanta, GA 31193-6857

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