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Organization

NOVANT HEALTH NORTHERN REGIONAL MEDICAL CENTER, LLC

Active
Other names
NH Northern Pediatrics, Novant Health South Street Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization

Contact information

Practice address
100 N POINTE BLVD, MOUNT AIRY, NC 27030-2266
(336) 789-6267
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
07/30/2026
Last updated
08/12/2026
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