NPI 1063210110
Novant Health Medical Group, LLC
Practice location
- Address
- 1450 Matthews Township Pkwy STE 380, Matthews, NC 28105-2389
- Phone
- (980) 302-6700
- Fax
- (980) 302-6705
- Mailing address
- PO Box 60447, Charlotte, NC 28260-0447
Authorised official
- Name
- Leea Jeanine Walton
- Title
- Manager
- Phone
- (704) 316-6081
Registered specialties
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Registry record
- NPI
- 1063210110
- Entity type
- Organization
- NPI issued
- 5 Mar 2025
- Record last updated
- 5 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.