NPI 1366781445

Novant Health Medical Group, LLC

Organisation Colon & Rectal Surgery Physician Clemmons, NC

Practice location

Address: 7210 Village Medical Cir STE 310, Clemmons, NC 27012-8041
Phone: (336) 277-4075
Fax: (336) 277-4070
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)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in North Carolina →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in North Carolina →

Registry record

NPI: 1366781445
Entity type: Organization
NPI issued: 8 Feb 2013
Record last updated: 20 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.