Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1913 W PARK DR, N WILKESBORO, NC 28659-3564
(111) 111-1111
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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