Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Inpatient Care Specialists Kernersvile
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7146
(336) 564-4866
(336) 277-6815
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 564-4866
(336) 277-6815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917401
—
NC
Enumeration date
02/03/2011
Last updated
06/20/2024
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