| NPI | 1467490102 |
|---|---|
| Doing Business As | NOVANT HEALTH PEDIATRICS SOUTHPARK |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-07-11 |