Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Oceanside Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
257 HOSPITAL DR. SUITE 101, BOLIVIA, NC 28422-8411
(910) 721-4100
(910) 721-4101
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 721-4100
(910) 721-4101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2012
Last updated
07/09/2024
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