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

Organization Obstetrics & Gynecology Physician · NPI 1962969774

Novant Health Medical Group, LLC is an Obstetrics & Gynecology Physician in Concord, North Carolina. Works from 2 locations. 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

9955 Poplar Tent Rd
Concord, NC 28027-9304
Phone: (704) 316-4828
Fax: (704) 316-4829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6909 Prosperity Church Rd, Huntersville, NC 28078-6698 — (704) 316-4830

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1962969774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health South Lake Ob/Gyn; Novant Health South Lake Ob/Gyn
NPI enumeratedFebruary 28, 2019
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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