NPI | 1679232417 |
---|---|
Doing Business As | NOVANT MEDICAL GROUP, INC. |
Doing Business As | NOVANT HEALTH DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | SHALA DAVIS Enrollment Coordinator 704-303-7517 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2021-12-09 |
Last Update Date | 2022-02-16 |