NOVANT HEALTH MEDICAL GROUP LLC NPI 1609547165

NPI Information

  • NPI: 1609547165
  • Provider Name: NOVANT HEALTH MEDICAL GROUP, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH FORSYTH PEDIATRICS
  • Address: 1471 JAG BRANCH BLVD UNIT 101
    KERNERSVILLE, NC
    ZIP 27284
  • Phone: (336) 515-7420

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NPI Details

NOVANT HEALTH MEDICAL GROUP, LLC is a pediatrics in Kernersville, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NOVANT HEALTH MEDICAL GROUP, LLC NPI is 1609547165. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Forsyth Pediatrics.

The provider's business location address is:

1471 JAG BRANCH BLVD UNIT 101
KERNERSVILLE, NC
ZIP 27284-963
Phone: (336) 515-7420
Fax: (336) 515-7430

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6081.

The enumeration date for this NPI number is 9/24/2021 and was last updated on 6/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 3/30/2025

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