Organization · Type 2 NPI

Novant Health Medical Group, LLC

Obstetrics & Gynecology Physician · Charlotte, NC

NPI number 1104081959 Active

Practice location

1718 E 4th St, Suite 201
Charlotte, NC 28204-3194

Call (704) 384-0560 Map

Fax (704) 384-0561

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

73 other providers at this address

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NPI record

NPI: 1104081959
Entity type: Organization (Type 2)
Issued: Jul 22, 2008
Last updated: Jun 20, 2024
Status: Active

Other names

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Novant Health Flood and Harris Ob/gyn · doing business as
Novant Health Flood and Harris Ob/gyn · 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 1104081959

Novant Health Medical Group, LLC's National Provider Identifier is 1104081959, issued on Jul 22, 2008. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 20, 2024.