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NPI Code Detail

MEDICARE: NOANT HEALTH MEDICAL GROUP, LLC

MEDICARE: NOANT 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
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1710836838
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOANT 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 :
Fax Number :
Provider Business Practice Location Address
First Line : 12611 N COMMUNITY HOUSE RD STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-3817
Country : US
Telephone Number : 704-316-3410
Fax Number : 704-316-3420
Authorized Official
Title or Position : MANAGER
Name : LEEA JEANINE WALTON
Credential :
Telephone Number : 704-316-6081
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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

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