| Novant Health Southern Piedmont Primary Care | |
|
1995 Wellness Blvd Ste 110&210 Monroe NC 28110-7769 | |
| (704) 384-1140 | |
| (704) 384-1141 |
| Full Name | Novant Health Southern Piedmont Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1995 Wellness Blvd Ste 110&210, Monroe, 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 Southern Piedmont Primary Care Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-1140 | Novant Health Southern Piedmont Primary Care 1995 Wellness Blvd Ste 110&210 Monroe NC 28110-7769 Ph: (704) 384-1140 |
| NPI Number | 1043258718 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043258718 | NPI | - | NPPES |
| NPA743 | Medicaid | SC | |
| 890138U | Medicaid | NC | |
| 0138U | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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