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
865 WESTLAKE DR STE 200, MOUNT AIRY, NC 27030-2135
(336) 277-0220
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
06/24/2024
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