Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Diabetes Management
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1400 WESTGATE CENTER DRIVE, SUITE 130, WINSTON SALEM, NC 27103-3104
(336) 659-8703
(336) 659-8704
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 659-8703
(336) 659-8704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
07/10/2024
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