Novant Health Medical Group, LLC
NPI #1134890692 in Kernersville, North Carolina
Provider Information
- NPI Number
- 1134890692
- Entity Type
- Organization
- Organization Name
- Novant Health Medical Group, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Sep 24, 2021
- Last Updated
- Jun 20, 2024
Practice Location
- Address
- 1471 JAG BRANCH BLVD UNIT 101
- City
- Kernersville
- State
- North Carolina
- ZIP Code
- 27284-6963
- Phone
- (336) 515-7420
Authorized Official
- Name
- LEEA JEANINE WALTON
- Title
- RCS MANAGER
- Phone
- (704) 316-6081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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