Novant Health Medical Group, LLC
Internal Medicine, Infectious Disease in Kernersville, NC. Organization (NPI-2).
NPI number1982128963
StatusActive
Last updated in NPPESJun 20, 2024
Details
- NPI
- 1982128963
- Entity type
- Organization (NPI-2)
- Legal business name
- Novant Health Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2017
- Certification date
- Jun 20, 2024
- Last updated
- Jun 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | Yes |
Other names
- Novant Health Infectious Disease Specialists (Doing Business As)
Practice location
1730 Kernersville Medical ParkwaySuite 105
Kernersville, NC 27284-7198
Phone 336-718-0440 · Fax 336-718-0441
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Phone 704-336-7180 · Fax 336-718-0441
Authorized official
Leea Jeanine Walton
Edi Manager
7043166081
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