Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
NHMG Urology Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
584 HOSPITAL DR NE UNIT D, BOLIVIA, NC 28422-0020
(704) 384-4000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
05/16/2025
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