| NPI | 1740557008 |
|---|---|
| Doing Business As | LAKE NORMAN NEONATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2022-01-14 |