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Organization

NOVANT HEALTH PREP II LLC

Active
Other names
Surgical Specialists of Charlotte, a Novant Health network provider - Matthews
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(336) 515-7085
Entity
Organization

Contact information

Practice address
1450 MATTHEWS TOWNSHIP PKWY STE 250, MATTHEWS, NC 28105-5331
(704) 841-1444
(704) 849-2520
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
02/25/2025
Last updated
04/21/2025
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