Organization
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Active
Other names
Novant Health Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
512 VILLAGE RD STE 206, SHALLOTTE, NC 28470-3409
(980) 302-9315
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(980) 302-9315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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