Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (ENROLLMENT MANAGER)
(047) 316-6081
Entity
Organization
Contact information
Practice address
901 WATERWORKS RD STE A, WINSTON SALEM, NC 27101-1958
(336) 277-5090
(336) 277-5099
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-5090
(336) 277-5099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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