Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Parent organization
NOVANT HEALTH MEDICAL GROUP, LLC
Other names
Novant Health Diabetes & Nutrition
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVANT HEALTH MEDICAL GROUP, LLC
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1718 E 4TH ST STE 207, CHARLOTTE, NC 28204-3291
(704) 384-7390
(704) 384-5669
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
07/10/2024
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