Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Diabetes Management
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1904 JAKE ALEXANDER BLVD W STE 301, SALISBURY, NC 28147-1177
(704) 638-1555
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
07/10/2023
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