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Organization

NOVANT HEALTH MEDICAL GROUP LLC

Active
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Organization

NOVANT HEALTH MEDICAL GROUP LLC

Active
Other names
Novant Health Heart & Vascular - Elizabeth (Vascular Surgery)
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (MANAGER)
(336) 515-7085
Entity
Organization

Contact information

Practice address
125 QUEENS RD STE 250, CHARLOTTE, NC 28204-3419
(704) 000-0000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
03/13/2026
Last updated
05/06/2026
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