NPI | 1639620107 |
---|---|
Doing Business As | NOVANT HEALTH MILLER STREET FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | GEOFFREY K GARDNER VP Of Finance 704-384-7605 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2016-10-20 |
Last Update Date | 2018-08-07 |