Novant Health Medical Group, LLC
Internal Medicine, Hospice and Palliative Medicine in Charlotte, NC. Organization (NPI-2).
NPI number1174202170
StatusActive
Last updated in NPPESJun 13, 2024
Details
- NPI
- 1174202170
- Entity type
- Organization (NPI-2)
- Legal business name
- Novant Health Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2023
- Certification date
- Jun 13, 2024
- Last updated
- Jun 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | – | – | Yes |
Other names
- Novant Health Palliative Care (Doing Business As)
Practice location
10905 Providence Road WCharlotte, NC 28277-1538
Phone 704-384-6478 · Fax 704-316-9643
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Phone 704-384-6478 · Fax 704-316-9643
Authorized official
Leea Jeanine Walton
Rcs Manager
7043166081
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