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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Adult Primary Care Peters Creek
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (RSC MANAGER)
(336) 515-7085
Entity
Organization

Contact information

Practice address
5038 PETERS CREEK PKWY STE 150, WINSTON SALEM, NC 27127-7172
(336) 277-2710
(336) 277-2719
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
11/16/2023
Last updated
07/08/2024
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