Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Charlotte Colon and Rectal Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, SUITE 355, MATTHEWS, NC 28105-2387
(704) 333-1259
(704) 333-0371
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 333-1259
(704) 333-0371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
06/20/2024
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