Organization · Type 2 NPI

Novant Health Medical Group, LLC

Pediatric Allergy/Immunology Physician · Charlotte, NC

NPI number 1447877931 Active

Practice location

6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286

Call (704) 316-9022 Map

Fax (704) 316-9026

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Pediatric Allergy/Immunology Physician Primary	2080P0201X	None listed

Pediatric Allergy/Immunology Physician: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

32 other providers at this address

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Novant Medical Group, Inc.Pediatric Allergy/Immunology Physician Charlotte, NC NPI 1134765126

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NPI record

NPI: 1447877931
Entity type: Organization (Type 2)
Issued: Jun 30, 2020
Last updated: Jun 20, 2024
Status: Active

Other names

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Novant Health Pediatric Allergy & Immunology · doing business as
Novant Health Pediatric Allergy & Immunology · 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 1447877931

Novant Health Medical Group, LLC's National Provider Identifier is 1447877931, issued on Jun 30, 2020. The primary taxonomy on file is Pediatric Allergy/Immunology Physician (2080P0201X), and the practice location is in Charlotte, NC. The record was last updated on Jun 20, 2024.