Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (AO)
(704) 316-6081
Entity
Organization
Contact information
Practice address
9920 KINCEY AVE STE 120, HUNTERSVILLE, NC 28078-2401
(704) 316-6360
(704) 316-6361
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
11/20/2024
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