Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Maternal-Fetal 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 200, WINSTON SALEM, NC 27103-4014
(336) 718-3170
(336) 718-9266
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
06/20/2024
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