| NPI | 1679012660 |
|---|---|
| Doing Business As | NOVANT HEALTH PROVIDENCE OB/GYN |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2023-07-11 |