| Novant Health Virtual Primary Care | |
|
2000 Hospital Dr Mt Pleasant SC 29464-3764 | |
| (980) 217-2025 | |
| (980) 598-8251 |
| Full Name | Novant Health Virtual Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 Hospital Dr, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Virtual Primary Care Po Box 604509 Charlotte NC 28260-4509 | Novant Health Virtual Primary Care 2000 Hospital Dr Mt Pleasant SC 29464-3764 Ph: (980) 217-2025 |
| NPI Number | 1285567727 |
|---|---|
| Provider Enumeration Date | 06/04/2026 |
| Last Update Date | 06/09/2026 |
| Certification Date | 06/09/2026 |
| Medicare PECOS PAC ID | 2668945437 |
|---|---|
| Medicare Enrollment ID | O20260624002242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285567727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Nardin Nabil Khalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386932838 PECOS PAC ID: 4587882378 Enrollment ID: I20140819002411 |
| Provider Name | Taisha C'mone Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679884803 PECOS PAC ID: 6103123278 Enrollment ID: I20160405001180 |
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