Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Urology Partners
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
75 EMERSON BAY RD, SUITE 102, CAROLINA SHORES, NC 28467-2498
(910) 721-4000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 721-4000
(910) 721-4001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
06/21/2024
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