Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Carolina Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
2104 RANDOLPH RD, CHARLOTTE, NC 28207-1522
(704) 377-3900
(704) 377-1244
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 377-3900
(704) 377-1244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
06/20/2024
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