Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1910 JAKE ALEXANDER BLVD W STE 102, SALISBURY, NC 28147-1163
(704) 639-0966
(704) 637-1121
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 639-0966
(704) 637-1121
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915699
—
NC
Enumeration date
07/14/2010
Last updated
06/19/2024
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