NPI 1083959282

Novant Health Medical Group, LLC

Organisation Surgery Physician Charlotte, NC

Practice location

Address: 1718 E 4th St STE 307, Charlotte, NC 28204-3283
Phone: (704) 333-1259
Fax: (704) 333-0371
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Authorised official

Name: Leea Jeanine Walton
Title: Rcs Manager
Phone: (704) 316-6081

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in North Carolina →

Registry record

NPI: 1083959282
Entity type: Organization
NPI issued: 29 Nov 2012
Record last updated: 20 Jun 2024

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.