| Novant Health Blakeney Family Physicians | |
|
5815 Blakeney Park Dr Ste 200b Charlotte NC 28277-5734 | |
| (704) 316-5080 | |
| (704) 316-5085 |
| Full Name | Novant Health Blakeney Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 5815 Blakeney Park Dr Ste 200b, Charlotte, 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 Blakeney Family Physicians Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 316-5080 | Novant Health Blakeney Family Physicians 5815 Blakeney Park Dr Ste 200b Charlotte NC 28277-5734 Ph: (704) 316-5080 |
| NPI Number | 1043340557 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043340557 | NPI | - | NPPES |
| 019C1 | Other | NC | BCBS-NC |
| 5906264 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
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