Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Southeast OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, SUITE 300, MATTHEWS, NC 28105-2387
(704) 321-1077
(704) 321-1086
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 321-1077
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
06/21/2024
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