Organization
NOVANT HEALTH PREP II LLC
Active
Other names
Surgical Specialists of Charlotte, a Novant Health network provider - Fort Mill
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
1700 1ST BAXTER XING STE 102, FORT MILL, SC 29708-8950
(803) 324-5256
(704) 364-8105
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
02/25/2025
Last updated
04/21/2025
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