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Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Pain Management Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
211 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 474-7922
(336) 474-3408
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 474-7922
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
06/20/2024
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