# NOVANT HEALTH THOMASVILLE MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Osteoporosis Clinic-Kernersville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689410037
- **Authorized official:** LEEA JEANINE WALTON (MANAGED CARE MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 1730 KERNERSVILLE MEDICAL PKWY STE 201, KERNERSVILLE, NC 27284-7198
- **Practice address phone:** (704) 000-0000
- **Mailing address:** PO BOX 935983, ATLANTA, GA 31193-5983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2024
- **Last updated:** 07/05/2024