Organization · Type 2 NPI

Novant Health Medical Group, LLC

Family Medicine Physician · Charlotte, NC

NPI number 1801827324 Active

Practice location

1918 Randolph Rd, Suite 275
Charlotte, NC 28207-1109

Call (704) 384-1354 Map

Fax (704) 384-1374

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.

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NPI record

NPI: 1801827324
Entity type: Organization (Type 2)
Issued: Jul 5, 2006
Last updated: Jul 9, 2024
Status: Active

Other names

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Novant Health Randolph Family Medicine · doing business as
Novant Health Randolph Family Medicine · 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 1801827324

Novant Health Medical Group, LLC's National Provider Identifier is 1801827324, issued on Jul 5, 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.