Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1401 MATTHEWS TOWNSHIP PKWY, SUITE 320, MATTHEWS, NC 28105-5402
(704) 384-1261
(704) 316-3145
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-7585
(704) 338-6422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
06/20/2024
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