| Novant Health Medical Group, Llc | |
|
6620 Shallowford Rd Suite 200 Lewisville NC 27023-9504 | |
| (336) 945-0345 | |
| Not Available |
| Full Name | Novant Health Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6620 Shallowford Rd, Lewisville, 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: () - | Novant Health Medical Group, Llc 6620 Shallowford Rd Suite 200 Lewisville NC 27023-9504 Ph: (336) 945-0345 |
| NPI Number | 1811394612 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811394612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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