| Novant Health Family Medicine Residency Clinic | |
|
19485 Old Jetton Road Suite 100 Cornelius NC 28031-6583 | |
| (704) 316-5170 | |
| (704) 316-5172 |
| Full Name | Novant Health Family Medicine Residency Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 19485 Old Jetton Road, Cornelius, 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 Family Medicine Residency Clinic Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 316-5170 | Novant Health Family Medicine Residency Clinic 19485 Old Jetton Road Suite 100 Cornelius NC 28031-6583 Ph: (704) 316-5170 |
| NPI Number | 1255709432 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255709432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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