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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Pediatric Cardiology
Organization subpart
No

Provider details

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

Contact information

Practice address
1471 JAG BRANCH BLVD UNIT 101, KERNERSVILLE, NC 27284-6963
(336) 718-2560
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-2560

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary

Other

Enumeration date
12/23/2025
Last updated
12/23/2025
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