Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Brain and Spine Surgery, Novant Health Forsyth Brain and Spine Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
190 KIMEL PARK DR STE 155, WINSTON SALEM, NC 27103-6946
(336) 765-6637
(336) 765-6964
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 765-6637
(336) 765-6964
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
06/20/2024
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