Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Adult Psychiatric Medicine, Novant Health Psychiatric Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
140 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6160
(704) 316-7585
(704) 338-6422
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-7585
(704) 338-6422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
06/20/2024
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