Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Charlotte Colon & Rectal Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1718 E 4TH ST STE 307, CHARLOTTE, NC 28204-3283
(704) 333-1259
(704) 333-0371
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 333-1259
(704) 333-0371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
06/20/2024
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