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Novant Health Medical Group, LLC

Orthopaedic Surgery in Supply, NC. Organization (NPI-2).

NPI number1083172829
StatusActive
Last updated in NPPESJul 11, 2024

Details

NPI
1083172829
Entity type
Organization (NPI-2)
Legal business name
Novant Health Medical Group, LLC
Organization subpart
No
Enumeration date
Mar 12, 2019
Certification date
Jul 11, 2024
Last updated
Jul 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes

Other names

  • Novant Health Orthopedics & Sports Medicine (Doing Business As)

Practice location

6 Doctors Cir Ste 5
Supply, NC 28462-6358

Phone 910-721-4370

Mailing address

Po Box 60447
Charlotte, NC 28260-0447

Other practice locations

501 Olde Waterford Way
Leland, NC 28451-4117

Phone 910-721-4370 · Fax 910-721-4379

Authorized official

Leea Jeanine Walton
Rcs Manager
7043166081

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Other Orthopaedic Surgery Physician providers in Supply, NC

All 9 Orthopaedic Surgery Physician providers in Supply · All 227 providers in Supply

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