# NOVANT HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Steelecroft Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548406978
- **Authorized official:** LEEA JEANINE WALTON (RCS MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 13425 HOOVER CREEK BLVD STE 100, CHARLOTTE, NC 28273-0170
- **Practice address phone:** (704) 316-2080
- **Practice address fax:** (704) 316-2085
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 316-2080
- **Mailing address fax:** (704) 316-2085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NC | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 07/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1548406978 | — | NC |