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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Senior Living Primary Care - Southminster
Organization subpart
No

Provider details

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

Contact information

Practice address
8919 PARK RD, CHARLOTTE, NC 28210-7610
(704) 384-1225
(704) 384-1226
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1225

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Enumeration date
10/10/2014
Last updated
07/09/2024
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