Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Spine Specialists
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 140, WINSTON SALEM, NC 27103-6946
(336) 277-2225
(336) 277-2231
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-2225
(336) 277-2231
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568808855
—
NC
Enumeration date
05/14/2013
Last updated
06/24/2024
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