Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MGR)
(704) 316-6081
Entity
Organization
Contact information
Practice address
8110 HEALTHCARE LOOP, CHARLOTTE, NC 28215-7069
(980) 488-9590
(980) 488-9591
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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