| Novant Health Diabetes Management | |
|
1400 Westgate Center Drive Suite 130 Winston Salem NC 27103-3104 | |
| (336) 659-8703 | |
| (336) 659-8704 |
| Full Name | Novant Health Diabetes Management |
|---|---|
| Speciality | Internal Medicine |
| Location | 1400 Westgate Center Drive, 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 Diabetes Management Po Box 60447 Charlotte NC 28260-0447 Ph: (336) 659-8703 | Novant Health Diabetes Management 1400 Westgate Center Drive Suite 130 Winston Salem NC 27103-3104 Ph: (336) 659-8703 |
| NPI Number | 1376092056 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376092056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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