Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Northern Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RSC MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
4901 AUBURN RD, SUMMERFIELD, NC 27358-9233
(336) 660-5270
(336) 660-5289
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
07/09/2024
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