Organization · Type 2 NPI

Novant Health Medical Group, LLC

Pediatrics Physician · Huntersville, NC

NPI number 1013969674 Active

Practice location

9615 Kincey Avenue, Suite 100
Huntersville, NC 28078-9140

Call (704) 316-5635 Map

Fax (704) 316-5640

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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NPI record

NPI: 1013969674
Entity type: Organization (Type 2)
Issued: May 16, 2006
Last updated: Jun 20, 2024
Status: Active

Other names

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Novant Health Gilead Road Pediatrics & Internal Medicine · doing business as
Novant Health Gilead Road Pediatrics & Internal Medicine · doing business as

Authorized official

Leea Jeanine Walton
RCS Manager
(704) 316-6081

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013969674

Novant Health Medical Group, LLC's National Provider Identifier is 1013969674, issued on May 16, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Huntersville, NC. The record was last updated on Jun 20, 2024.