| NPI | 1043992100 |
|---|---|
| Doing Business As | NOVANT HEALTH FAMILY MEDICINE SHOREFAIR |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rsc Manager 336-515-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-07-09 |