Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Brain and Spine Surgery
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
(336) 718-8832
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 765-6637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
06/20/2024
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