Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Northern Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
6161 LAKE BRANDT RD UNIT B, GREENSBORO, NC 27455-8415
(336) 643-5800
(336) 643-7474
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2010
Last updated
07/09/2024
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