| Novant Health Headache & Sleep Medicine | |
|
1471 Jag Branch Blvd Ste 105 Kernersville NC 27284-6956 | |
| (336) 765-5553 | |
| (336) 765-5359 |
| Full Name | Novant Health Headache & Sleep Medicine |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1471 Jag Branch Blvd Ste 105, Kernersville, North Carolina |
| Authorized Official Name and Position | Shala Davis (RCS MANAGER) |
| Authorized Official Contact | 7043037517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Headache & Sleep Medicine Po Box 60447 Charlotte NC 28260-0447 Ph: (336) 765-5553 | Novant Health Headache & Sleep Medicine 1471 Jag Branch Blvd Ste 105 Kernersville NC 27284-6956 Ph: (336) 765-5553 |
| NPI Number | 1528322617 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528322617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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