Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Pulmonary Medicine South
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
9550 ROCKY RIVER RD STE 100, CHARLOTTE, NC 28215-9526
(704) 316-3612
(704) 316-3613
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3612
(704) 316-3613
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
06/19/2024
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