Novant Health Medical Group, LLC

NPI #1104310374 in Winston Salem, North Carolina

Provider Information

NPI Number: 1104310374
Entity Type: Organization
Organization Name: Novant Health Medical Group, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 20, 2018
Last Updated: Jul 8, 2024

Practice Location

Address: 4937 OLD COUNTRY CLUB RD
City: Winston Salem
State: North Carolina
ZIP Code: 27104
Phone: (336) 718-4510

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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