Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY STE 380, MATTHEWS, NC 28105-2389
(980) 302-6700
(980) 302-6705
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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