| NPI | 1083905079 |
|---|---|
| Doing Business As | LEVINE CHILDREN'S SPECIALTY CENTER - BALLANTYNE |
| Entity Type | Organization |
| Authorized Contact | DENNIE UNDERWOOD Vice President 704-355-3147 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |