OrganizationActive
Novant Health Medical Group, LLC
NPI 1396751640 · Dermatopathology Physician · Huntersville, NC
Provider details
- NPI number
- 1396751640
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leea Walton, Rcs Manager(704) 316-6081
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Practice location
9604 Holly Point Dr
Huntersville, NC 28078-4913
Phone: (704) 316-5070
Fax: (704) 316-5075
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Northlake Dermatology
- Doing business as
- Novant Health Northlake Dermatology
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2024-06-19
- Certified
- 2024-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.