Organization
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Active
Other names
Novant Health Wound Care, NHRMC Wound Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (ENROLLMENT MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
2259 S 17TH ST, WILMINGTON, NC 28401-7542
(910) 662-9300
(910) 662-2401
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
09/13/2024
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