Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Urology
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RSC MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
648 ALMONDRIDGE DR, RURAL HALL, NC 27045-9887
(336) 277-1717
(336) 277-1718
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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