Organization · Type 2 NPI

Novant Health Medical Group, LLC

Vascular Surgery Physician · Winston Salem, NC

NPI number 1508106691 Active

Practice location

2827 Lyndhurst Ave, Suite 206
Winston Salem, NC 27103-4145

Call (336) 794-7600 Map

Fax (336) 231-8845

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Surgery Physician	208600000X	None listed
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

11 other providers at this address

Other vascular surgery physician providers in Winston Salem

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NPI record

NPI: 1508106691
Entity type: Organization (Type 2)
Issued: Feb 26, 2013
Last updated: Jun 20, 2024
Status: Active

Other names

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Novant Health Vein Specialists · doing business as
Novant Health Vein Specialists · doing business as

Authorized official

Leea Jeanine Walton
RCS Manager
(704) 316-6081

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About NPI 1508106691

Novant Health Medical Group, LLC's National Provider Identifier is 1508106691, issued on Feb 26, 2013. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 20, 2024.