Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Parent organization
NOVANT HEALTH MEDICAL GROUP, LLC
Other names
Novant Diabetes & Nutrition
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVANT HEALTH MEDICAL GROUP, LLC
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1400 WESTGATE CTR DR STE 110, WINSTON SALEM, NC 27103-3104
(980) 302-9307
(704) 316-9859
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
07/15/2024
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