Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
855 SAM NEWELL RD STE 205, MATTHEWS, NC 28105-7664
(704) 316-5140
(704) 316-5141
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
04/21/2026
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