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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Palliative Care
Organization subpart
No

Provider details

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

Contact information

Practice address
10905 PROVIDENCE ROAD W, CHARLOTTE, NC 28277-1538
(704) 384-6478
(704) 316-9643
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-6478
(704) 316-9643

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
07/17/2023
Last updated
06/13/2024
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