| Novant Health Waxhaw Family & Sports Medicine | |
|
3614 Providence Rd S Suite 100 Waxhaw NC 28173-6309 | |
| (704) 384-8640 | |
| (704) 384-8650 |
| Full Name | Novant Health Waxhaw Family & Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3614 Providence Rd S, Waxhaw, 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 Waxhaw Family & Sports Medicine Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-8640 | Novant Health Waxhaw Family & Sports Medicine 3614 Providence Rd S Suite 100 Waxhaw NC 28173-6309 Ph: (704) 384-8640 |
| NPI Number | 1568400729 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568400729 | NPI | - | NPPES |
| 0276T | Other | NC | BCBS |
| NPA885 | Medicaid | SC | |
| CC5118 | Other | NC | RAILROAD MEDICARE |
| 890276T | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Rd S Ste 200, Waxhaw, NC 28173 Phone: 704-289-2553 | |
Carolinas Healthcare System Pulmonary & Sleep Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Rd S, Ste 180, Waxhaw, NC 28173 Phone: 980-993-6320 | |
Ratliff Integrative Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Waxhaw Professional Park Dr Ste D, Waxhaw, NC 28173 Phone: 704-560-5508 | |
Peace Medical Center And Wellness, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9605 Gato Del Sol Ct, Waxhaw, NC 28173 Phone: 980-315-3540 | |
Medical Group Of Waxhaw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Rd S, Ste 300, Waxhaw, NC 28173 Phone: 704-243-2254 | |
Union Pulmonary & Sleep Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Road South, Suite 225, Waxhaw, NC 28173 Phone: 704-226-0413 Fax: 704-296-5646 | |
Charlotte Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Rd S, Suite 320, Waxhaw, NC 28173 Phone: 704-667-6750 Fax: 704-667-6751 |