Novant Health Medical Group, Llc

LBN: Novant Health Medical Group, Llc
Novant Health Medical Group, Llc is an health care organization with primary practice located at 114 Charlois Blvd , Winston Salem NC 27103-1522. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Novant Health Medical Group, Llc can be contacted via phone (336) 765-5470, or through Walton, Leea Jeanine via phone (704) 316-6081.

Contact Information

Primary practice address
114 Charlois Blvd Winston Salem NC 27103-1522
Phone: (336) 765-5470
Fax: (336) 765-5428
Website:
Map and Directions
Authorized official contact:
Name: Walton, Leea Jeanine
Phone: (704) 316-6081

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1841427200
LBN Legal business name Novant Health Medical Group, Llc
DBA Doing business as
Authorized official Walton, Leea Jeanine
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2009
Last updated Jun 21st, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841427200 NPPES
North Carolina Other 1841427200 BCBS NC
North Carolina MEDICAID 5912104 BCBS NC

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