NPI 1174326490

Novant Health Medical Group, LLC

Organisation Urology Physician Winston Salem, NC

Practice location

Address: 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013
Phone: (336) 277-1717
Fax: (336) 277-1718
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Authorised official

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

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in North Carolina →

Registry record

NPI: 1174326490
Entity type: Organization
NPI issued: 31 Mar 2025
Record last updated: 31 Mar 2025

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.