NPI | 1174379838 |
---|---|
Doing Business As | NOVANT HEALTH FAMILY MEDICINE WEST LAKE |
Entity Type | Organization |
Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-04-24 |
Last Update Date | 2024-05-02 |