Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Steelecroft Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
13425 HOOVER CREEK BLVD STE 100, CHARLOTTE, NC 28273-0170
(704) 316-2080
(704) 316-2085
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-2080
(704) 316-2085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548406978
—
NC
Enumeration date
01/07/2009
Last updated
07/09/2024
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