| NPI | 1013430107 |
|---|---|
| Doing Business As | NOVANT HEALTH WAUGHTOWN PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Manager 704-303-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2021-08-16 |