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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Bariatric Solutions-Stockbridge
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (ENROLLMENT MANAGER)
(336) 515-7085
Entity
Organization

Contact information

Practice address
773 STOCKBRIDGE DR, FORT MILL, SC 29708-7200
(704) 316-7760
(704) 316-7761
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-7760
(704) 316-7761

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
11/20/2025
Last updated
12/10/2025
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