Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
10305 HAMPTONS PARK DR STE 101, HUNTERSVILLE, NC 28078-7221
(704) 316-5388
(704) 316-1848
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5388
(704) 316-1848
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
NC
Other
Enumeration date
08/28/2008
Last updated
06/12/2024
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