Organization
NOVANT HEALTH MEDICAL GROUP LLC
Active
Other names
Novant Health Infectious Disease Specialists
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) 384-7425
(704) 316-9646
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7425
(704) 316-9646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Enumeration date
12/13/2013
Last updated
06/20/2024
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