NPI 1649635954
Novant Health Medical Group, LLC
Practice location
- Address
- 1010 Bethesda CT, Winston Salem, NC 27103-3019
- Phone
- (336) 277-6000
- Fax
- (336) 277-6001
- 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)
Clinical Genetics (M.D.) Physician
Primary
Hematology & Oncology Physician
Registry record
- NPI
- 1649635954
- Entity type
- Organization
- NPI issued
- 31 Dec 2015
- Record last updated
- 20 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.