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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Pediatric Pulmonology
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization

Contact information

Practice address
201 QUEENS RD, CHARLOTTE, NC 28204-3217
(704) 316-5280
(704) 316-5282
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5280
(704) 316-5282

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary

Other

Enumeration date
06/26/2017
Last updated
06/14/2024
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