| Novant Health Medical Group, Llc | |
|
530 Corporate Cir Ste 200 Salisbury NC 28147-8074 | |
| (704) 637-7590 | |
| (704) 316-1880 |
| Full Name | Novant Health Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 530 Corporate Cir Ste 200, Salisbury, 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: (704) 384-7840 | Novant Health Medical Group, Llc 530 Corporate Cir Ste 200 Salisbury NC 28147-8074 Ph: (704) 637-7590 |
| NPI Number | 1710933692 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 05/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710933692 | NPI | - | NPPES |
| 0123F | Other | NC | BCBS-NC |
| 89014CU | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Jake Alexander Blvd W Ste 201, Salisbury, NC 28147 Phone: 704-638-8631 Fax: 704-638-8639 | |
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