| Novant Health University Family Physicians | |
|
10810 Mallard Creek Rd Charlotte NC 28262-9786 | |
| (704) 510-8000 | |
| (704) 510-8006 |
| Full Name | Novant Health University Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 10810 Mallard Creek 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 University Family Physicians Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 510-8000 | Novant Health University Family Physicians 10810 Mallard Creek Rd Charlotte NC 28262-9786 Ph: (704) 510-8000 |
| NPI Number | 1336181452 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336181452 | NPI | - | NPPES |
| 015H7 | Other | NC | BCBS NC |
| 89015H7 | Medicaid | NC | |
| DE6891 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (North Carolina) | Secondary |
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