NPI 1891764320
Novant Health Medical Group, LLC
Practice location
- Address
- 125 Queens Rd STE 250, Charlotte, NC 28204-3215
- Phone
- (704) 316-5100
- Fax
- (704) 316-5101
- 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)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Vascular Surgery Physician
Registry record
- NPI
- 1891764320
- Entity type
- Organization
- NPI issued
- 16 Mar 2006
- 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.