Organization
NOVANT HEALTH PREP II LLC
Active
Other names
Surgical Specialists of Charlotte, a Novant Health network provider - Pineville
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
10512 PARK RD STE 101, CHARLOTTE, NC 28210-8473
(704) 542-3631
(704) 542-3646
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
02/25/2025
Last updated
04/21/2025
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