Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Integrative Medicine, Novant Health Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
190 KIMEL PARK DR STE 125, WINSTON SALEM, NC 27103-6946
(336) 277-6009
(336) 277-4459
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
06/20/2024
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