# NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Colon & Rectal Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366239337
- **Authorized official:** LEEA JEANINE WALTON (MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 5505 CURRITUCK DR STE 200, WILMINGTON, NC 28403-1155
- **Practice address phone:** (910) 662-7720
- **Practice address fax:** (910) 777-5961
- **Mailing address:** PO BOX 936857, ATLANTA, GA 31193-6857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2025
- **Last updated:** 05/19/2026