# NOVANT HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Friedberg Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811217201
- **Authorized official:** LEEA JEANINE WALTON (RCS MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 5010 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-7276
- **Practice address phone:** (336) 788-4664
- **Practice address fax:** (336) 788-0753
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 384-7840
- **Mailing address fax:** (704) 384-7830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9501018 | NC | Yes |

## Other

- **Enumeration date:** 06/08/2010
- **Last updated:** 07/09/2024