Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
6324 FAIRVIEW RD STE 310, CHARLOTTE, NC 28210-4172
(704) 316-6565
(704) 316-6560
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
07/09/2024
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