Organization
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Active
Other names
Novant Health Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
109 SCOTTS HILL MEDICAL DR, STE 204, WILMINGTON, NC 28411
(910) 662-9384
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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