Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Senior Living Health Services - Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
108 PROVIDENCE RD, CHARLOTTE, NC 28207-1218
(336) 481-8655
(336) 277-9165
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
07/09/2024
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