Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Arboretum Family and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
7903 PROVIDENCE RD, SUITE 100, CHARLOTTE, NC 28277-9720
(704) 316-4460
(704) 316-4466
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4460
(704) 316-4466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
NC
Other
Enumeration date
12/19/2011
Last updated
07/08/2024
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