Organization
THE PRESBYTERIAN HOSPITAL
Active
Other names
Novant Health Heart and Vascular Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1401 MATTHEWS TOWNSHIP PARKWAY, SUITE 110, MATTHEWS, NC 28105-5403
(704) 316-3131
(704) 316-3132
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3131
(704) 316-3132
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205170800
—
NC
Enumeration date
11/20/2012
Last updated
07/10/2023
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