Organization · Type 2 NPI

Novant Health Medical Group, LLC

Geriatric Medicine (Internal Medicine) Physician · Charlotte, NC

NPI number 1174169593 Active

Practice location

6324 Fairview Rd Ste 310
Charlotte, NC 28210-4172

Call (704) 316-6565 Map

Fax (704) 316-6560

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Geriatric Medicine (Internal Medicine) Physician Primary	207RG0300X	None listed

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

10 other providers at this address

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NPI record

NPI: 1174169593
Entity type: Organization (Type 2)
Issued: Nov 20, 2019
Last updated: Jul 9, 2024
Status: Active

Other names

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Novant Health Senior Care · doing business as
Novant Health Senior 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 1174169593

Novant Health Medical Group, LLC's National Provider Identifier is 1174169593, issued on Nov 20, 2019. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Charlotte, NC. The record was last updated on Jul 9, 2024.