Organization · Type 2 NPI

Novant Health Medical Group, LLC

Family Medicine Physician · Wake Forest, NC

NPI number 1235458985 Active

Practice location

10500 Ligon Mill Rd, Suite 113
Wake Forest, NC 27587-4576

Call (919) 570-5705 Map

Fax (919) 570-5710

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	2005-01578 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Wake Forest

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NPI record

NPI: 1235458985
Entity type: Organization (Type 2)
Issued: May 20, 2010
Last updated: Jul 9, 2024
Status: Active
Subpart: Yes of Novant Medical Group, Inc

Other names

<unavail>
Novant Health Primary Care Partners · doing business as
Novant Health Primary Care Partners · doing business as

Authorized official

Leea Jeanine Walton
RCS Manager
(704) 316-6081

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235458985

Novant Health Medical Group, LLC's National Provider Identifier is 1235458985, issued on May 20, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Wake Forest, NC. The record was last updated on Jul 9, 2024.