Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
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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