Novant Health Medical Group, LLC
NPI #1124579750 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1124579750
- Entity Type
- Organization
- Organization Name
- Novant Health Medical Group, LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Oct 19, 2016
- Last Updated
- Jun 24, 2024
Practice Location
- Address
- 512 VILLAGE RD STE 104
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-3409
- Phone
- (910) 721-4200
Authorized Official
- Name
- LEEA JEANINE WALTON
- Title
- RCS MANAGER
- Phone
- (704) 316-6081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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