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Novant Health Medical Group, LLC

Pediatrics in King, NC. Organization (NPI-2).

NPI number1942979349
StatusActive
Last updated in NPPESJun 20, 2024

Details

NPI
1942979349
Entity type
Organization (NPI-2)
Legal business name
Novant Health Medical Group, LLC
Organization subpart
No
Enumeration date
Sep 9, 2021
Certification date
Jun 20, 2024
Last updated
Jun 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Other names

  • Novant Health Pediatrics King (Doing Business As)

Practice location

167 Moore Rd Ste 201
King, NC 27021-8770

Phone 336-673-6470 · Fax 336-673-6489

Mailing address

Po Box 60447
Charlotte, NC 28260-0447

Authorized official

Leea Jeanine Walton
Rcs Manager
7043166081

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