| 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 | 2023-07-10 |