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 1396751640

Novant Health Medical Group, LLC is a Dermatology Physician in Huntersville, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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

9604 Holly Point Dr
Huntersville, NC 28078-4913
Phone: (704) 316-5070
Fax: (704) 316-5075
Show map & directions

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

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1396751640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Northlake Dermatology; Novant Health Northlake Dermatology
NPI enumeratedJuly 31, 2006
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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