Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Forsyth Pediatrics After Hours
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1471 JAG BRANCH BLVD UNIT 101, KERNERSVILLE, NC 27284-6963
(336) 515-7420
(336) 515-7430
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 515-7420
(336) 515-7430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
06/20/2024
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