# NOVANT MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Diabetes Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093475972
- **Authorized official:** LEEA JEANINE WALTON (RCS MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 1904 JAKE ALEXANDER BLVD W STE 301, SALISBURY, NC 28147-1177
- **Practice address phone:** (704) 638-1555
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2021
- **Last updated:** 07/10/2023