Novant Health Child And Adolescent Medical Group

LBN: Novant Health Medical Group, Llc
Novant Health Child And Adolescent Medical Group is an health care organization with primary practice located at 3614 Providence Rd S Suite 101, Waxhaw NC 28173-6309. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Novant Health Medical Group, Llc can be contacted via phone (704) 384-8460, or through Walton, Leea Jeanine via phone (704) 316-6081.

Contact Information

Primary practice address
3614 Providence Rd S Suite 101 Waxhaw NC 28173-6309
Phone: (704) 384-8460
Fax: (704) 384-8465
Website:
Map and Directions
Authorized official contact:
Name: Walton, Leea Jeanine
Phone: (704) 316-6081

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1386019891
LBN Legal business name Novant Health Medical Group, Llc
DBA Doing business as Novant Health Child And Adolescent Medical Group
Authorized official Walton, Leea Jeanine
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2015
Last updated Jun 20th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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