| NPI | 1396751640 |
|---|---|
| Doing Business As | NOVANT HEALTH NORTHLAKE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-07-11 |