| NPI | 1063051340 |
|---|---|
| Doing Business As | NOVANT HEALTH PEDIATRIC NEPHROLOGY |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Enrollment Manager 704-316-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |