Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
6324 FAIRVIEW RD STE 460, CHARLOTTE, NC 28210-3271
(980) 302-8611
(980) 302-8624
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-8611
(980) 302-8624
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/07/2019
Last updated
06/24/2024
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