Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Pediatric Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
167 MOORE RD STE 201, KING, NC 27021-8770
(336) 718-2560
(336) 718-2569
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
02/09/2026
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