Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Pulmonary & Critical Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
134 MEDICAL PARK RD STE 200, MOORESVILLE, NC 28117-8527
(704) 384-7972
(704) 384-7973
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7972
(704) 384-7973
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
06/19/2024
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