Novant Health Neurology And Sleep | |
190 Kimel Park Dr Ste 120 Winston Salem NC 27103-6946 | |
(336) 765-5553 | |
(336) 765-5359 |
Full Name | Novant Health Neurology And Sleep |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 190 Kimel Park Dr Ste 120, Winston Salem, 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 Neurology And Sleep Po Box 60447 Charlotte NC 28260-0447 Ph: (336) 765-5553 | Novant Health Neurology And Sleep 190 Kimel Park Dr Ste 120 Winston Salem NC 27103-6946 Ph: (336) 765-5553 |
NPI Number | 1023349404 |
---|---|
Provider Enumeration Date | 01/25/2010 |
Last Update Date | 07/11/2023 |
Certification Date | 07/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023349404 | NPI | - | NPPES |
5915951 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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