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Organization

NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC

Active
Other names
Novant Health Surgery Navigation
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (ENROLLMENT MANAGER)
(336) 515-7085
Entity
Organization

Contact information

Practice address
109 SCOTTS HILL MEDICAL DR, # 100A, WILMINGTON, NC 28411
(910) 667-6001
(910) 815-5086
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 667-6001
(910) 815-5086

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/26/2024
Last updated
10/22/2024
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