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Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Sleep Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
6909 PROSPERITY CHURCH RD, HUNTERSVILLE, NC 28078-6698
(704) 316-2050
(704) 316-2051
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-2050
(704) 316-2051
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NC
207RP1001X
Pulmonary Disease Physician
—
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NC
Other
Enumeration date
07/27/2006
Last updated
06/20/2024
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