# NOVANT HEALTH WESTERN CAROLINA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Women's Specialty Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174336598
- **Authorized official:** LEEA JEANINE WALTON (RCS MANAGER)
- **Authorized official phone:** (336) 515-7085

## Contact information

- **Practice address:** 2100 RIDGEFIELD BLVD, ASHEVILLE, NC 28806-2343
- **Practice address phone:** (828) 670-5665
- **Practice address fax:** (828) 670-5663
- **Mailing address:** PO BOX 604333, CHARLOTTE, NC 28260-4333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | — | — |

## Other

- **Enumeration date:** 01/29/2025
- **Last updated:** 04/21/2025