| Novant Health Cotswold Medical Clinic | |
|
200 Greenwich Rd Charlotte NC 28211-2316 | |
| (704) 384-8680 | |
| (704) 384-8684 |
| Full Name | Novant Health Cotswold Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Greenwich Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Cotswold Medical Clinic Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7603 | Novant Health Cotswold Medical Clinic 200 Greenwich Rd Charlotte NC 28211-2316 Ph: (704) 384-8680 |
| NPI Number | 1740236702 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740236702 | NPI | - | NPPES |
| 890271V | Medicaid | NC | |
| CC5118 | Other | NC | RAILROAD MEDICARE |
| 0271V | Other | NC | BCBS-NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
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