Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Memory 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
(980) 302-8680
(980) 302-8681
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-8680
(980) 302-8681
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
07/19/2024
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