Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Today's Adult Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RSC MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
2001 TODAYS WOMAN AVE, WINSTON SALEM, NC 27105-5069
(336) 722-1818
(336) 722-1826
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
07/09/2024
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