Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Infectious Disease Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (EDI MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PARKWAY, SUITE 105, KERNERSVILLE, NC 27284-7198
(336) 718-0440
(336) 718-0441
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 336-7180
(336) 718-0441
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
06/20/2024
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