Novant Health Medical Group, LLC

NPI #1043021686 in Winston Salem, North Carolina

Provider Information

NPI Number: 1043021686
Entity Type: Organization
Organization Name: Novant Health Medical Group, LLC
Primary Specialty: Dermatology
Enumeration Date: Jan 14, 2025
Last Updated: Feb 10, 2025

Practice Location

Address: 2025 FRONTIS PLAZA BLVD STE 120
City: Winston Salem
State: North Carolina
ZIP Code: 27103-5663
Phone: (336) 774-3740

Authorized Official

Name: LEEA JEANINE WALTON
Title: RCS MANAGER
Phone: (704) 316-6081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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