DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NOVANT HEALTH MEDICAL GROUP, LLC

MEDICARE: NOVANT HEALTH MEDICAL GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1679295398
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOVANT HEALTH MEDICAL GROUP, LLC
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-384-5043
Fax Number : 704-384-8895
Provider Business Practice Location Address
First Line : 125 QUEENS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-3278
Country : US
Telephone Number : 704-384-5043
Fax Number : 704-384-8895
Authorized Official
Title or Position : RCS MANAGER
Name : LEEA JEANINE WALTON
Credential :
Telephone Number : 704-316-6081
Provider Enumeration Date : 09/19/2022
Last Update Date : 06/24/2024

Similar Medicare Providers

1033428016 — MICHAELLE BRYANT NP
Practice Location Address:
125 QUEENS RD STE 610&640
CHARLOTTE, NC
28204-3278
Practice Phone: 980-302-6600
Practice Fax: 980-302-6605
1205373081 — MIRANDA LEIGH JONES PA-C
Practice Location Address:
125 QUEENS RD
CHARLOTTE, NC
28204-3278
Practice Phone: 704-343-9800
Practice Fax: 704-347-2011
1588185094 — VICTORIA ANN LEVESQUE RD
Practice Location Address:
125 QUEENS RD
CHARLOTTE, NC
28204-3278
Practice Phone: 980-302-6450
Practice Fax:
1275256422 — THE PRESBYTERIAN HOSPITAL
Practice Location Address:
125 QUEENS RD
CHARLOTTE, NC
28204-3278
Practice Phone: 704-384-4000
Practice Fax:
1003651365 — MOLLY MCKNIGHT TAPPAN
Practice Location Address:
125 QUEENS RD
CHARLOTTE, NC
28204-3278
Practice Phone: 803-026-5009
Practice Fax: 980-302-6505
1598645970 — KELLY ANN PEER
Practice Location Address:
125 QUEENS RD
CHARLOTTE, NC
28204-3278
Practice Phone: 980-302-6000
Practice Fax:

Directions to “NOVANT HEALTH MEDICAL GROUP, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.