OrganizationNovant Health Medical Group, Llc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1950 S Hawthorne Rd, Winston Salem, NC 27103-3912(999) 999-9999PECOS EnrollmentBased on the most recent information from CMS, provider Novant Health Medical Group, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1942864061Provider TypeOrganizationFull NameNovant Health Medical Group, LlcOther Name<Unavail>SubpartNoEnumeration Date4/24/2019Last Updated6/24/2024Contact InformationPractice LocationPractice Address1950 S Hawthorne Rd, Winston Salem, NC 27103-3912Phone(999) 999-9999FaxUnlisted FaxMailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameWalton, Leea Jeanine (Rcs Manager)Phone(704) 316-6081Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer