| NPI | 1255735890 |
|---|---|
| Doing Business As | NOVANT HEALTH SENIOR LIVING PRIMARY CARE - SOUTHMINSTER |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2024-07-09 |