Organization
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Active
Other names
Novant Health Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (ENROLLMENT MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
5505 CURRITUCK DR STE 200, WILMINGTON, NC 28403-1155
(910) 662-2570
(910) 662-2579
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-2570
(910) 662-2579
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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