Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Mintview OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (EDI MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
15830 BALLANTYNE MEDICAL PL STE 275, CHARLOTTE, NC 28277-4791
(704) 542-0744
(704) 543-7713
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 542-0744
(704) 543-7713
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
06/20/2024
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