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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Pediatric Allergy & Immunology
Organization subpart
No

Provider details

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

Contact information

Practice address
6331 CARMEL RD STE 102, CHARLOTTE, NC 28226-8286
(704) 316-9022
(704) 316-9026
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary

Other

Enumeration date
06/30/2020
Last updated
06/20/2024
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