Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (MED CRED COORD LEAD)
(704) 316-6081
Entity
Organization
Contact information
Practice address
131 MEDICAL PARK RD STE 305, MOORESVILLE, NC 28117-8525
(704) 663-0006
(704) 663-5224
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
05/02/2024
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