Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Coastal Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1456 N HOWE ST STE 201, SOUTHPORT, NC 28461-2674
(910) 754-8808
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7606
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
03/26/2025
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