NPI | 1861019150 |
---|---|
Doing Business As | NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC - NORTH END |
Entity Type | Organization |
Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-07-02 |
Last Update Date | 2024-07-09 |