Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Huntersville Adult Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
9930 KINCEY AVE STE 300, HUNTERSVILLE, NC 28078-6541
(704) 316-5600
(704) 316-5613
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5600
(704) 316-5613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016GC
—
NC
Enumeration date
06/06/2006
Last updated
02/03/2025
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