Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
9735 KINCEY AVE STE 205, HUNTERSVILLE, NC 28078-9120
(980) 302-7150
(980) 302-7155
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
07/10/2023
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