Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-6478
(704) 384-8220
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-6478
(704) 384-8220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
06/13/2024
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