Organization
NOVANT HEALTH PREP II LLC
Active
Other names
Surgical Specialists of Charlotte, part of Novant Health
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
7300 CARMEL EXECUTIVE PARK DR STE 200, CHARLOTTE, NC 28226-1336
(704) 333-0741
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
02/25/2025
Last updated
04/21/2025
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