Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Pediatric Neurology & Sleep, Novant Health Pediatric Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
6331 CARMEL RD STE 102, CHARLOTTE, NC 28226-8246
(704) 384-1390
(704) 384-1063
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1390
(704) 384-1063
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/11/2023
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