| Novant Health Medical Group, Llc | |
|
13815 Professional Center Dr Ste 100 Huntersville NC 28078-7951 | |
| (704) 384-4000 | |
| Not Available |
| Full Name | Novant Health Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 13815 Professional Center Dr Ste 100, Huntersville, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Medical Group, Llc Po Box 60447 Charlotte NC 28260-0447 Ph: () - | Novant Health Medical Group, Llc 13815 Professional Center Dr Ste 100 Huntersville NC 28078-7951 Ph: (704) 384-4000 |
| NPI Number | 1588387211 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588387211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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