Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Women's Heart & Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
6324 FAIRVIEW RD STE 400, CHARLOTTE, NC 28210-4278
(980) 302-8659
(980) 302-8674
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-8659
(980) 302-8674
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
07/12/2023
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