| Novant Health Family Medicine Shorefair | |
|
114 W 30th Street Suite 800 Winston-salem NC 27105-4304 | |
| (336) 277-2680 | |
| (336) 277-2689 |
| Full Name | Novant Health Family Medicine Shorefair |
|---|---|
| Speciality | Family Medicine |
| Location | 114 W 30th Street, Winston-salem, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RSC MANAGER) |
| Authorized Official Contact | 3365157085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Family Medicine Shorefair Po Box 60447 Charlotte NC 28260-0447 Ph: () - | Novant Health Family Medicine Shorefair 114 W 30th Street Suite 800 Winston-salem NC 27105-4304 Ph: (336) 277-2680 |
| NPI Number | 1043992100 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043992100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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