# NOVANT HEALTH MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1609530815
- **Authorized official:** LEEA JEANINE WALTON (RCS MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 144 FOREST HILL RD STE 144&146, LEXINGTON, NC 27295-2008
- **Practice address phone:** (336) 481-1750
- **Practice address fax:** (336) 481-1759
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (336) 481-1750
- **Mailing address fax:** (336) 481-1759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2021
- **Last updated:** 10/01/2024
