Organization
NOVANT HEALTH NORTHERN REGIONAL MEDICAL CENTER, LLC
Active
Organization
NOVANT HEALTH NORTHERN REGIONAL MEDICAL CENTER, LLC
Active
Other names
NH Northern Urology, Novant Health South Street Urology
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1016 S SOUTH ST, MOUNT AIRY, NC 27030-5330
(336) 786-5144
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
08/12/2026
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