Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Inpatient Care Specialists Ballantyne
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
10905 PROVIDENCE RD W STE G200, CHARLOTTE, NC 28277-1538
(980) 488-4900
(980) 488-4905
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 488-4900
(980) 488-4905
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
06/20/2024
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