Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Novant Health Medical Group, LLC

Organization Dermatology Physician · NPI 1205481009

Novant Health Medical Group, LLC is a Dermatology Physician 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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