Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Carolina Womens Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1955 S US 29 HWY, CHINA GROVE, NC 28023-5684
(704) 855-7611
(704) 855-7612
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 855-7611
(704) 855-7612
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918962
—
NC
Enumeration date
10/06/2011
Last updated
06/20/2024
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