NPI 1114250354

Novant Health Medical Group, LLC

Organisation Surgery Physician Winston Salem, NC

Practice location

Address: 2915 Lyndhurst Ave, Winston Salem, NC 27103-4005
Phone: (336) 765-5221
Fax: (336) 765-0430
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Authorised official

Name: Leea Jeanine Walton
Title: Rcs Manager
Phone: (704) 316-6081

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in North Carolina →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Registry record

NPI: 1114250354
Entity type: Organization
NPI issued: 4 Sep 2009
Record last updated: 24 Jun 2024

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.