Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (MANAGED CARE MANAGER)
(047) 316-6081
Entity
Organization
Contact information
Practice address
20 MEDICAL CAMPUS DR NW STE 104, SUPPLY, NC 28462-4094
(910) 575-5800
(910) 579-1174
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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