NPI | 1104152024 |
---|---|
Doing Business As | NOVANT HEALTH GRANITE QUARRY INTERNAL MEDICINE & PEDIATRICS |
Entity Type | Organization |
Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2009-10-28 |
Last Update Date | 2023-07-10 |