| Novant Medical Group,inc | |
|
204 Smith Ave Shallotte NC 28470-4458 | |
| (704) 384-9672 | |
| (704) 316-8725 |
| Full Name | Novant Medical Group,inc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 204 Smith Ave, 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 Medical Group,inc Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-9672 | Novant Medical Group,inc 204 Smith Ave Shallotte NC 28470-4458 Ph: (704) 384-9672 |
| NPI Number | 1386177855 |
|---|---|
| Provider Enumeration Date | 04/11/2017 |
| Last Update Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386177855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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