Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
204 SMITH AVE, SHALLOTTE, NC 28470-4458
(704) 384-9672
(704) 316-8725
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9672
(704) 316-8725
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
07/11/2024
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