Organization · Type 2 NPI

Novant Health Medical Group, LLC

Pediatric Cardiology Physician · Charlotte, NC

NPI number 1083015028 Active

Practice location

11840 Southmore Dr Ste 201
Charlotte, NC 28277-0785

Call (704) 316-1220 Map

Fax (704) 316-1230

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician	207RC0000X	None listed
Pediatric Cardiology Physician Primary	2080P0202X	None listed

Pediatric Cardiology Physician: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Another provider at this address

Novant Health Medical Group, LLCPulmonary Disease Physician Charlotte, NC NPI 1205177045

Other pediatric cardiology physician providers in Charlotte

See all in Charlotte →

NPI record

NPI: 1083015028
Entity type: Organization (Type 2)
Issued: Sep 9, 2014
Last updated: Jun 14, 2024
Status: Active

Other names

<unavail>
Novant Health Pediatric Cardiology · doing business as
Novant Health Pediatric Cardiology · doing business as

Authorized official

Leea Jeanine Walton
RCS Manager
(704) 316-6081

Verify this record

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.

Is this your record? How to update it.

About NPI 1083015028

Novant Health Medical Group, LLC's National Provider Identifier is 1083015028, issued on Sep 9, 2014. The primary taxonomy on file is Pediatric Cardiology Physician (2080P0202X), and the practice location is in Charlotte, NC. The record was last updated on Jun 14, 2024.