| NPI | 1639695133 |
|---|---|
| Doing Business As | NOVANT HEALTH PEDIATRIC SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Edi Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2023-07-11 |