Organization
NOVANT HEALTH MEDICAL GROUP LLC
Active
Organization
NOVANT HEALTH MEDICAL GROUP LLC
Active
Other names
Novant Health Orthopedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
7210 VILLAGE MEDICAL CIR STE 110, CLEMMONS, NC 27012-8029
(336) 893-2400
(336) 893-2410
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 893-2400
(336) 893-2410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548661606
—
NC
Enumeration date
09/09/2014
Last updated
07/11/2024
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