Organization · Type 2 NPI

Novant Health Medical Group, LLC

Surgery Physician · Bolivia, NC

NPI number 1336229384 Active

Practice location

257 Hospital Drive Suite 200
Bolivia, NC 28422-8411

Call (910) 721-4000 Map

Fax (910) 721-4001

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

584 Hospital Dr NE, Suite A, Bolivia, NC 28422-9047 · (910) 721-4000

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

6 other providers at this address

NPI record

NPI: 1336229384
Entity type: Organization (Type 2)
Issued: Oct 16, 2006
Last updated: Jun 24, 2024
Status: Active

Other names

<unavail>
Novant Health Surgical Associates · doing business as
Novant Health Surgical Associates · 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.

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About NPI 1336229384

Novant Health Medical Group, LLC's National Provider Identifier is 1336229384, issued on Oct 16, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Bolivia, NC. The record was last updated on Jun 24, 2024.