Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Pediatric Sleep Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1806 S HAWTHORNE RD STE 100, WINSTON SALEM, NC 27103-4014
(336) 481-1880
(336) 481-1889
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 481-1880
(336) 481-1889
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
06/14/2024
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