Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Mothershed Foot & Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
445 PINEVIEW DR, STE 230, KERNERSVILLE, NC 27284-3817
(336) 765-0710
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 765-0710
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/24/2024
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