Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Pediatric Pulmonology
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 PKWY STE 100, MATTHEWS, NC 28105-5403
(704) 316-5280
(704) 316-5282
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5280
(704) 316-5282
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
06/14/2024
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