Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Vascular Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1710 KERNERSVILLE MEDICAL PKWY STE 210, KERNERSVILLE, NC 27284-7157
(336) 564-4878
(336) 992-2170
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 564-4878
(336) 992-2170
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
06/20/2024
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