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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Bariatric Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization

Contact information

Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 101, KERNERSVILLE, NC 27284-7198
(336) 564-4950
(336) 564-4959
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840

Taxonomy

Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5921790
NC
Enumeration date
11/01/2012
Last updated
09/23/2024
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