Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Harborside Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
133 WELTON WAY, SUITE C, MOORESVILLE, NC 28117-9163
(704) 664-2552
(704) 664-5382
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 664-2552
(704) 664-5382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NC
Other
Enumeration date
11/11/2008
Last updated
06/20/2024
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