Organization · Type 2 NPI

Novant Health Medical Group, LLC

Pediatrics Physician · Charlotte, NC

NPI number 1770964660 Active

Practice location

2400 South Blvd Ste 200
Charlotte, NC 28203-5773

Call (704) 774-3024 Map

Fax (704) 774-3025

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

7 other providers at this address

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NPI record

NPI: 1770964660
Entity type: Organization (Type 2)
Issued: Jun 16, 2015
Last updated: Jun 20, 2024
Status: Active

Other names

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Novant Health Pediatrics South End · doing business as
Novant Health Pediatrics South End · 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 1770964660

Novant Health Medical Group, LLC's National Provider Identifier is 1770964660, issued on Jun 16, 2015. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 20, 2024.