Novant Health Medical Group, LLC
Internal Medicine in Bolivia, NC. Organization (NPI-2).
NPI number1548737745
StatusActive
Last updated in NPPESJun 24, 2024
Details
- NPI
- 1548737745
- Entity type
- Organization (NPI-2)
- Legal business name
- Novant Health Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2018
- Certification date
- Jun 24, 2024
- Last updated
- Jun 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Novant Health Surgical Wellness (Doing Business As)
Practice location
240 Hospital Dr NeBolivia, NC 28422-8346
Phone 704-384-5416
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Authorized official
Leea Jeanine Walton
Rcs Manager
7043166081
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Internal Medicine Physician providers in Bolivia, NC
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.