Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Flood and Harris 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
1718 E 4TH ST, SUITE 201, CHARLOTTE, NC 28204-3194
(704) 384-0560
(704) 384-0561
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-0560
(704) 384-0561
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950416
—
NC
Enumeration date
07/22/2008
Last updated
06/20/2024
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