| NPI | 1568400729 |
|---|---|
| Doing Business As | NOVANT HEALTH WAXHAW FAMILY & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-07-09 |