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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Adolescent Weight Management Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization

Contact information

Practice address
325 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204-2536
(704) 316-7763
(704) 316-7761
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
05/15/2026
Last updated
05/15/2026
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