Novant Health Medical Group, LLC
NPI #1386019891 in Waxhaw, North Carolina
Provider Information
- NPI Number
- 1386019891
- Entity Type
- Organization
- Organization Name
- Novant Health Medical Group, LLC
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Dec 9, 2015
- Last Updated
- Jun 20, 2024
Practice Location
- Address
- 3614 PROVIDENCE RD S
- Address 2
- SUITE 101
- City
- Waxhaw
- State
- North Carolina
- ZIP Code
- 28173-6309
- Phone
- (704) 384-8460
Authorized Official
- Name
- LEEA JEANINE WALTON
- Title
- RCS MANAGER
- Phone
- (704) 316-6081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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