Healthcare Provider Details

I. General information

NPI: 1003737529
Provider Name (Legal Business Name): NH DIGITAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2085 FRONTIS PLAZA BLVD
WINSTON SALEM NC
27103-5614
US

IV. Provider business mailing address

PO BOX 604042
CHARLOTTE NC
28260-4042
US

V. Phone/Fax

Practice location:
  • Phone: 336-277-8770
  • Fax: 704-316-9181
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: LEEA JEANINE WALTON
Title or Position: RCS MANAGER
Credential:
Phone: 704-316-6081