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Organization

NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC

Active
Other names
Wilmington Surgical Associates
Organization subpart
No

Provider details

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

Contact information

Practice address
2739 IRON GATE DR, WILMINGTON, NC 28412-3731
(910) 763-7363
(910) 251-8296
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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