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

Novant Health Medical Group, LLC

Organization Dermatology Physician · NPI 1205481009

Novant Health Medical Group, LLC provides Dermatology Physician services in Charlotte, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
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

6324 Fairview Rd # 200
Charlotte, NC 28210-3271
Phone: (980) 302-9700
Fax: (980) 302-9730
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1205481009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Dermatology
NPI enumeratedAugust 8, 2019
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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