Organization
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
5505 CURRITUCK DR STE 200, WILMINGTON, NC 28403-1155
(910) 667-4289
(910) 338-0965
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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