Organization
NOVANT HEALTH MEDICAL GROUP LLC
Active
Other names
Novant Health Gastroenterology Brunswick
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
13 MEDICAL CAMPUS, SUITE 102, SUPPLY, NC 28462-4093
(910) 754-5988
(910) 754-5989
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 754-5988
(910) 754-5989
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
06/20/2024
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