| Novant Health Medical Group, Llc | |
|
3515 W Market St Ste 210 Greensboro NC 27403-4442 | |
| (336) 660-5460 | |
| (336) 660-5497 |
| Full Name | Novant Health Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3515 W Market St Ste 210, Greensboro, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Medical Group, Llc Po Box 60447 Charlotte NC 28260-0447 Ph: (336) 660-5460 | Novant Health Medical Group, Llc 3515 W Market St Ste 210 Greensboro NC 27403-4442 Ph: (336) 660-5460 |
| NPI Number | 1407403710 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407403710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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