Novant Medical Group INC
NPI #1497146856 in Southport, North Carolina
Provider Information
- NPI Number
- 1497146856
- Entity Type
- Organization
- Organization Name
- Novant Medical Group INC
- Primary Specialty
- Urology
- Enumeration Date
- Feb 6, 2015
- Last Updated
- Jul 12, 2023
Practice Location
- Address
- 1456 N HOWE ST
- Address 2
- SUITE 201
- City
- Southport
- State
- North Carolina
- ZIP Code
- 28461-2754
- Phone
- (910) 721-4150
Authorized Official
- Name
- LEEA JEANINE WALTON
- Title
- RCS MANAGER
- Phone
- (704) 316-6081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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