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Novant Health Medical Group, LLC

Internal Medicine, Infectious Disease in Huntersville, NC. Organization (NPI-2).

NPI number1003332016
StatusActive
Last updated in NPPESJun 20, 2024

Details

NPI
1003332016
Entity type
Organization (NPI-2)
Legal business name
Novant Health Medical Group, LLC
Organization subpart
No
Enumeration date
Aug 22, 2017
Certification date
Jun 20, 2024
Last updated
Jun 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0200X Internal Medicine, Infectious Disease––Yes

Other names

  • Novant Health Infectious Disease Specialists (Doing Business As)

Practice location

16525 Holly Crest Ln Ste 220
Huntersville, NC 28078-4909

Phone 704-384-1940 · Fax 704-895-5977

Mailing address

Po Box 60447
Charlotte, NC 28260-0447

Phone 704-384-7980

Authorized official

Leea Jeanine Walton
Rcs Manager
7043166081

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