Novant Health Medical Group, LLC
Orthopaedic Surgery in Charlotte, NC. Organization (NPI-2).
NPI number1770033763
StatusActive
Last updated in NPPESJul 11, 2024
Details
- NPI
- 1770033763
- Entity type
- Organization (NPI-2)
- Legal business name
- Novant Health Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Oct 13, 2016
- Certification date
- Jul 11, 2024
- Last updated
- Jul 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Other names
- Novant Health Orthopedics & Sports Medicine (Doing Business As)
Practice location
12611 N Community House Rd Ste 100Charlotte, NC 28277-3817
Phone 704-316-3410
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Other practice locations
Authorized official
Leea Jeanine Walton
Rcs Manager
7043166081
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