| NPI | 1023515202 |
|---|---|
| Doing Business As | NOVANT HEALTH INTERNAL MEDICINE PROVIDENCE |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Mgr 704-303-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2021-08-18 |