Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Surry Medical Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
2133 ROCKFORD ST STE 1400, MOUNT AIRY, NC 27030-6594
(336) 673-6560
(336) 719-0494
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
04/05/2021
Last updated
07/09/2024
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