NPI 1053379941
Foundation Health Systems Corp.
Practice location
- Address
- 2001 Todays Woman Ave, Winston Salem, NC 27105-5069
- Phone
- (336) 722-1818
- Fax
- (336) 722-1826
- Mailing address
- PO Box 751803, Charlotte, NC 28275-1803
Authorised official
- Name
- Leea Jeanine Walton
- Title
- Rcs Manager
- Phone
- (704) 316-6081
Registered specialties (3)
Gynecology Physician
Primary
Physician Assistant
Nurse Practitioner
Registry record
- NPI
- 1053379941
- Entity type
- Organization
- NPI issued
- 2 May 2006
- Record last updated
- 12 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.