Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Parent organization
NOVANT HEALTH MEDICAL GROUP, LLC
Other names
Novant Health Bariatric Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVANT HEALTH MEDICAL GROUP, LLC
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
325 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204-2536
(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
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
06/20/2024
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