| Novant Diabetes & Nutrition | |
|
1400 Westgate Ctr Dr Ste 110 Winston Salem NC 27103-3104 | |
| (980) 302-9307 | |
| (704) 316-9859 |
| Full Name | Novant Diabetes & Nutrition |
|---|---|
| Speciality | Internal Medicine |
| Location | 1400 Westgate Ctr Dr Ste 110, 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 Diabetes & Nutrition Po Box 60447 Charlotte NC 28260-0447 Ph: () - | Novant Diabetes & Nutrition 1400 Westgate Ctr Dr Ste 110 Winston Salem NC 27103-3104 Ph: (980) 302-9307 |
| NPI Number | 1962048512 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962048512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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