Organization
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Active
Other names
Novant Health General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (ENROLLMENT MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
1726 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5344
(910) 662-9384
(910) 667-2566
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9384
(910) 667-2566
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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