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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Orthopedics & Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (EDI MANAGER)
(704) 316-6081
Entity
Organization

Contact information

Practice address
810 MITCHELL AVE, SALISBURY, NC 28144-6253
(704) 216-5633
(704) 639-0785
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 216-5633
(704) 639-0785

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5922129
NC
Enumeration date
11/20/2012
Last updated
07/11/2024
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