| NPI | 1134765126 |
|---|---|
| Doing Business As | NOVANT HEALTH PEDIATRIC ALLERGY & IMMUNOLOGY |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Enrollment Manager 704-316-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |