| Novant Health Medical Group, Llc | |
|
1730 Kernersville Medical Pkwy Ste 101 Kernersville NC 27284-7198 | |
| (336) 564-4950 | |
| (336) 564-4959 |
| Full Name | Novant Health Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine - Obesity Medicine |
| Location | 1730 Kernersville Medical Pkwy Ste 101, Kernersville, 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: (704) 384-7840 | Novant Health Medical Group, Llc 1730 Kernersville Medical Pkwy Ste 101 Kernersville NC 27284-7198 Ph: (336) 564-4950 |
| NPI Number | 1609120492 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609120492 | NPI | - | NPPES |
| 5921790 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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