Novant Health Medical Group, LLC

NPI #1578057394 in Mooresville, North Carolina

Provider Information

NPI Number: 1578057394
Entity Type: Organization
Organization Name: Novant Health Medical Group, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 15, 2018
Last Updated: Jun 20, 2024

Practice Location

Address: 656 CARPENTER AVE
City: Mooresville
State: North Carolina
ZIP Code: 28115-2538
Phone: (704) 664-5133

Authorized Official

Name: LEEA JEANINE WALTON
Title: RCS MANAGER
Phone: (704) 316-6081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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