Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Parent organization
NOVANT HEALTH MEDICAL GROUP, LLC
Other names
Novant Health Colon and Rectal Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVANT HEALTH MEDICAL GROUP, LLC
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
3515 W MARKET ST STE 310, GREENSBORO, NC 27403-4438
(704) 316-6493
(704) 316-9859
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
06/20/2024
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