Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
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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