Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Novant Health Medical Group Coastal Region, LLC

Organization Pediatric Surgery Physician · NPI 1710647698

Novant Health Medical Group Coastal Region, LLC provides Pediatric Surgery Physician services 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
Fax: (910) 662-8909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X

Record details

NPI number1710647698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 303-7517
Other names Novant Health Pediatric Surgery
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 14, 2021
Mailing addressPo Box 936857, Atlanta, GA 31193-6857

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