| Novant Health Medical Group Coastal Region, Llc | |
|
512 Village Rd Ste 206 Shallotte NC 28470-3409 | |
| (980) 302-9315 | |
| Not Available |
| Full Name | Novant Health Medical Group Coastal Region, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 512 Village Rd Ste 206, Shallotte, 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 Coastal Region, Llc Po Box 936857 Atlanta GA 31193-6857 Ph: (980) 302-9315 | Novant Health Medical Group Coastal Region, Llc 512 Village Rd Ste 206 Shallotte NC 28470-3409 Ph: (980) 302-9315 |
| NPI Number | 1770461824 |
|---|---|
| Provider Enumeration Date | 08/26/2025 |
| Last Update Date | 08/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770461824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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