| Novant Medical Group, Inc | |
|
1401 Matthews Township Pkwy Suite 320 Matthews NC 28105-5402 | |
| (704) 384-1261 | |
| (704) 316-3145 |
| Full Name | Novant Medical Group, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1401 Matthews Township Pkwy, Matthews, 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 Medical Group, Inc Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 316-7585 | Novant Medical Group, Inc 1401 Matthews Township Pkwy Suite 320 Matthews NC 28105-5402 Ph: (704) 384-1261 |
| NPI Number | 1326597493 |
|---|---|
| Provider Enumeration Date | 09/29/2016 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326597493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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