# NOVANT HEALTH MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Rankin OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477593960
- **Authorized official:** LEEA JEANINE WALTON (RCS MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 1918 RANDOLPH RD, SUITE 670, CHARLOTTE, NC 28207-1100
- **Practice address phone:** (704) 384-1620
- **Practice address fax:** (704) 384-1626
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 384-1620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NC | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 06/21/2024