| Novant Health Medical Group, Llc | |
|
1750 Kernersville Medical Pkwy Kernersville NC 27284-7146 | |
| (336) 564-4866 | |
| (336) 277-6815 |
| Full Name | Novant Health Medical Group, Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 1750 Kernersville Medical Pkwy, 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: (336) 564-4866 | Novant Health Medical Group, Llc 1750 Kernersville Medical Pkwy Kernersville NC 27284-7146 Ph: (336) 564-4866 |
| NPI Number | 1033415377 |
|---|---|
| Provider Enumeration Date | 02/03/2011 |
| Last Update Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033415377 | NPI | - | NPPES |
| 5917401 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
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