Organization
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Active
Other names
Novant Health Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
109 SCOTTS HILL MEDICAL DR, STE 100A, WILMINGTON, NC 28411
(910) 667-3000
(910) 338-0965
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 667-3000
(910) 338-0965
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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