Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Inpatient Rehabilitation Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (ENROLLMENT MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
1901 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 316-2000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-2000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
07/24/2024
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