Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
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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