| NPI | 1538966866 |
|---|---|
| Doing Business As | NOVANT HEALTH MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Enrollment Manager 336-515-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-03-27 |