| Novant Health Neurology And Sleep | |
|
190 Kimel Park Dr Ste 120 Winston Salem NC 27103-6946 | |
| (336) 765-5553 | |
| (336) 765-5359 |
| Full Name | Novant Health Neurology And Sleep |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 190 Kimel Park Dr Ste 120, Winston Salem, 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 Neurology And Sleep Po Box 60447 Charlotte NC 28260-0447 Ph: (336) 765-5553 | Novant Health Neurology And Sleep 190 Kimel Park Dr Ste 120 Winston Salem NC 27103-6946 Ph: (336) 765-5553 |
| NPI Number | 1023349404 |
|---|---|
| Provider Enumeration Date | 01/25/2010 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023349404 | NPI | - | NPPES |
| 5915951 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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