Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Ballantyne Family and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
15033 BALLONCROFT PARKWAY, SUITE 200, CHARLOTTE, NC 28277
(704) 316-2920
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
07/09/2024
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