Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Memory Care
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 121, WINSTON SALEM, NC 27103-6946
(336) 718-7300
(336) 718-7309
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-7585
(704) 338-6422
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
07/09/2024
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