NPI 1154765832

Novant Health Medical Group, LLC

Organisation Plastic Surgery Physician Charlotte, NC

Practice location

Address: 1901 Brunswick Ave Suite 200, Charlotte, NC 28207-2809
Phone: (704) 316-5025
Fax: (704) 316-5022
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Authorised official

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

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 2010-01097 (NC)

Other Plastic Surgery providers in North Carolina →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 2010-01097 (NC)

Other Surgery providers in North Carolina →

Registry record

NPI: 1154765832
Entity type: Organization
NPI issued: 24 Apr 2013
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.