NPI | 1255825410 |
---|---|
Doing Business As | NOVANT HEALTH BALLANTYNE FAMILY AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2018-06-20 |
Last Update Date | 2024-07-09 |