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
3515 W MARKET ST STE 210, GREENSBORO, NC 27403-4442
(336) 660-5480
(336) 660-5499
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 660-5480
(336) 660-5499
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
08/21/2019
Last updated
06/24/2024
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