Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Neurology and Sleep
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
190 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6946
(336) 277-2200
(336) 277-2210
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-2200
(336) 277-2210
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915951
—
NC
Enumeration date
01/25/2010
Last updated
06/12/2024
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