Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Breast Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (ENROLLMENT MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
648 ALMONDRIDGE DR, RURAL HALL, NC 27045-9887
(336) 277-6300
(336) 277-6309
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-6300
(336) 277-6309
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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