Organization · Type 2 NPI

Novant Health Medical Group, LLC

Family Medicine Physician · Charlotte, NC

NPI number 1912447079 Active

Practice location

2400 South Blvd Ste 103
Charlotte, NC 28203-5773

Call (704) 316-3017 Map

Fax (704) 316-3018

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.

5 other providers at this address

Other family medicine physician providers in Charlotte

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NPI record

NPI: 1912447079
Entity type: Organization (Type 2)
Issued: Mar 8, 2017
Last updated: Jul 9, 2024
Status: Active

Other names

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Novant Health Primary Care South End · doing business as
Novant Health Primary Care 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 1912447079

Novant Health Medical Group, LLC's National Provider Identifier is 1912447079, issued on Mar 8, 2017. 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.