OrganizationActive
Novant Health Medical Group, LLC
NPI 1679012660 · Obstetrics Physician · Charlotte, NC
Provider details
- NPI number
- 1679012660
- Entity type
- Organization
- Primary specialty
- Obstetrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leea Walton, Rcs Manager(704) 316-6081
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6324 Fairview Rd Ste 430
Charlotte, NC 28210-4278
Phone: (704) 316-3148
Fax: (704) 316-3149
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Providence Ob/Gyn
- Doing business as
- Novant Health Providence Ob/Gyn
Registry dates
- Enumerated
- 2017-02-23
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.