Organization
NOVANT HEALTH GREENVILLE MEDICAL GROUP, LLC
Active
Organization
NOVANT HEALTH GREENVILLE MEDICAL GROUP, LLC
Active
Other names
Novant Health Head & Neck Reconstructive Surgery - Congaree
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA WALTON (RCS MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
701 CONGAREE RD, GREENVILLE, SC 29607-3519
(864) 248-4130
(864) 248-4131
Mailing address
PO BOX 604348, CHARLOTTE, NC 28260-4348
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
01/05/2026
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