Novant Health Medical Group, LLC

NPI #1265080089 in Winston Salem, North Carolina

Provider Information

NPI Number: 1265080089
Entity Type: Organization
Organization Name: Novant Health Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: NOVANT MEDICAL GROUP, INC.
Primary Specialty: Physical Therapist
Enumeration Date: Aug 27, 2019
Last Updated: Jul 24, 2024

Practice Location

Address: 190 KIMEL PARK DR STE 131
City: Winston Salem
State: North Carolina
ZIP Code: 27103-6946
Phone: (704) 765-6637

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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