Organization · Type 2 NPI

Novant Health Medical Group, LLC

Family Medicine Physician · Locust, NC

NPI number 1114105533 Active

Practice location

236 Market St, Suite 110
Locust, NC 28097-9439

Call (704) 384-9590 Map

Fax (704) 384-9591

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Locust

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NPI record

NPI: 1114105533
Entity type: Organization (Type 2)
Issued: Feb 7, 2008
Last updated: Jul 9, 2024
Status: Active

Other names

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Novant Health Lakeside Primary Care · doing business as
Novant Health Lakeside Primary Care · 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 1114105533

Novant Health Medical Group, LLC's National Provider Identifier is 1114105533, issued on Feb 7, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Locust, NC. The record was last updated on Jul 9, 2024.