Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Pelvic Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
770 HIGHLAND OAKS DR, SUITE 100, WINSTON SALEM, NC 27103
(336) 718-1970
(336) 774-7105
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9672
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
04/08/2016
Last updated
06/20/2024
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