| NPI | 1306618053 |
|---|---|
| Doing Business As | NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Enrollment Manager 336-515-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-11-16 |