Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
2225 FREEDOM DR, CHARLOTTE, NC 28208-1000
(704) 316-5166
(704) 316-5167
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5166
(704) 316-5167
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
03/26/2021
Last updated
06/21/2024
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