Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Appel Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1901 BRUNSWICK AVE, SUITE 200, CHARLOTTE, NC 28207-2809
(704) 316-5025
(704) 316-5022
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5025
(704) 316-5022
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2010-01097
NC
208600000X
Surgery Physician
2010-01097
NC
Other
Enumeration date
04/24/2013
Last updated
06/20/2024
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