NPI 1336775535
Novant Health Medical Group, LLC
Practice location
- Address
- 2711 Randolph Rd STE 100, Charlotte, NC 28207-2027
- Phone
- (980) 302-9308
- Mailing address
- PO Box 60447, Charlotte, NC 28260-0447
Authorised official
- Name
- Leea Jeanine Walton
- Title
- Rcs Manager
- Phone
- (704) 316-6081
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1336775535
- Entity type
- Organization
- NPI issued
- 19 Mar 2020
- 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.