Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Neonatal Inpatient Care
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) 718-5841
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-5841
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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