| NPI | 1104479708 |
|---|---|
| Doing Business As | NOVANT HEALTH DEVELOPMENTAL &BEHAVIORAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Managed Care Enrollment Manager 704-316-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |