Healthcare Provider Details
I. General information
NPI: 1891371084
Provider Name (Legal Business Name): NOVANT HEALTH EMPLOYER SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2021
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
330 BILLINGSLEY RD STE 101
CHARLOTTE NC
28211-5020
US
IV. Provider business mailing address
PO BOX 604341
CHARLOTTE NC
28260-4333
US
V. Phone/Fax
- Phone: 704-316-2333
- Fax: 704-316-2334
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEEA
JEANINE
WALTON
Title or Position: RCS MANAGER
Credential:
Phone: 704-316-6081