Organization · Type 2 NPI

Novant Health Medical Group, LLC

Neurology Physician · Waxhaw, NC

NPI number 1578056057 Active

Practice location

9929 Rea Rd Ste 101
Waxhaw, NC 28173-6439

Call (704) 316-1055 Map

Fax (704) 316-1056

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

15033 Ballancroft Pkwy Ste 200, Charlotte, NC 28277-4944 · (704) 384-9437

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2 other providers at this address

Other neurology physician providers in Waxhaw

The Charlotte-Mecklenburg Hospital AuthorityNeurology Physician Waxhaw, NC NPI 1083073266

See all in Waxhaw →

NPI record

NPI: 1578056057
Entity type: Organization (Type 2)
Issued: Jun 11, 2018
Last updated: Jun 12, 2024
Status: Active

Other names

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Novant Health Neurology and Sleep · doing business as
Novant Health Neurology and Sleep · 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 1578056057

Novant Health Medical Group, LLC's National Provider Identifier is 1578056057, issued on Jun 11, 2018. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Waxhaw, NC. The record was last updated on Jun 12, 2024.