Novant Health Medical Group, LLC
Obstetrics & Gynecology in Charlotte, NC. Organization (NPI-2).
NPI number1669948980
StatusActive
Last updated in NPPESJun 20, 2024
Details
- NPI
- 1669948980
- Entity type
- Organization (NPI-2)
- Legal business name
- Novant Health Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2018
- Certification date
- Jun 20, 2024
- Last updated
- Jun 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Other names
- Novant Health Mintview Ob/Gyn (Doing Business As)
Practice location
8820 Rachel Freeman WayCharlotte, NC 28278-9510
Phone 704-316-7770 · Fax 704-316-7771
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Phone 704-316-7770 · Fax 704-316-7771
Authorized official
Leea Jeanine Walton
Rcs Manager
7043166081
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