Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Winston Salem Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
201 EXECUTIVE PARK BLVD, WINSTON SALEM, NC 27103-1503
(336) 774-9000
(336) 774-9012
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 774-9000
(336) 774-9012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/21/2014
Last updated
06/21/2024
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