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Organization

NOVANT HEALTH MEDICAL GROUP, LLC

Active
Other names
Novant Health Child & Adolescent Psychiatric Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization

Contact information

Practice address
140 KIMEL PARK DR STE 101, WINSTON SALEM, NC 27103-6185
(336) 718-7280
(336) 718-7290
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-7585
(704) 338-6422

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
05/22/2017
Last updated
06/20/2024
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