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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