| Novant Health Psychiatry | |
|
175 Kimel Park Dr Ste 100 Winston Salem NC 27103-6951 | |
| (336) 718-3550 | |
| (336) 277-1825 |
| Full Name | Novant Health Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 175 Kimel Park Dr Ste 100, 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 Psychiatry Po Box 751803 Charlotte NC 28275-1803 Ph: (336) 718-3550 | Novant Health Psychiatry 175 Kimel Park Dr Ste 100 Winston Salem NC 27103-6951 Ph: (336) 718-3550 |
| NPI Number | 1508350349 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508350349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 201500185 (North Carolina) | Primary |
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