NPI 1134545304

Novant Medical Group INC

Organisation Surgery Physician Winston Salem, NC

Practice location

Address: 2825 Lyndhurst Ave STE 101, Winston Salem, NC 27103-4146
Phone: (336) 277-4050
Fax: (336) 765-0470
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Authorised official

Name: Shala Davis
Title: Rcs Manager
Phone: (704) 303-7517

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in North Carolina →

Registry record

NPI: 1134545304
Entity type: Organization
NPI issued: 12 Mar 2014
Record last updated: 17 Aug 2021

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.