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Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Deep River OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 104, KERNERSVILLE, NC 27284-7198
(336) 765-5470
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/24/2025
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