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Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Pediatric Allergy & Immunology
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
6331 CARMEL RD STE 102, CHARLOTTE, NC 28226-8286
(704) 316-9022
(704) 316-9026
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
—
NULL
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/20/2024
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