Organization · Type 2 NPI

Novant Health Medical Group, LLC

Family Medicine Physician · Charlotte, NC

NPI number 1770511313 Active

Practice location

6324 Fairview Road, Suite 201
Charlotte, NC 28210-4278

Call (704) 384-0588 Map

Fax (704) 384-0580

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	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.

Another provider at this address

Janet Aiken, MDInternal Medicine Physician Charlotte, NC NPI 1659398337

Other family medicine physician providers in Charlotte

See all in Charlotte →

NPI record

NPI: 1770511313
Entity type: Organization (Type 2)
Issued: Jun 30, 2006
Last updated: Jul 9, 2024
Status: Active

Other names

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Novant Health South Park Family Physicians · doing business as
Novant Health South Park Family Physicians · 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 1770511313

Novant Health Medical Group, LLC's National Provider Identifier is 1770511313, issued on Jun 30, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 9, 2024.