| NPI | 1912447079 |
|---|---|
| Doing Business As | NOVANT HEALTH PRIMARY CARE SOUTH END |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2023-07-11 |