# NOVANT HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Sleep Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346264835
- **Authorized official:** LEEA JEANINE WALTON (RCS MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 6909 PROSPERITY CHURCH RD, HUNTERSVILLE, NC 28078-6698
- **Practice address phone:** (704) 316-2050
- **Practice address fax:** (704) 316-2051
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 316-2050
- **Mailing address fax:** (704) 316-2051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NC | — |
| 207RP1001X | Pulmonary Disease Physician | — | NC | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NC | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 06/20/2024