Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Novant Health Medical Group, LLC

Organization Surgery Physician · NPI 1083959282

Novant Health Medical Group, LLC provides Surgery Physician services in Charlotte, North Carolina. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1718 E 4th St Ste 307
Charlotte, NC 28204-3283
Phone: (704) 333-1259
Fax: (704) 333-0371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1083959282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Charlotte Colon & Rectal Surgery; Novant Health Charlotte Colon & Rectal Surgery
NPI enumeratedNovember 29, 2012
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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