# NOVANT HEALTH MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1366242505
- **Authorized official:** LEEA JEANINE WALTON (RSC MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 1955 S US 29 HWY, CHINA GROVE, NC 28023-5684
- **Practice address phone:** (704) 210-7790
- **Practice address fax:** (704) 210-7791
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2025
- **Last updated:** 04/14/2025