| NPI | 1962969774 |
|---|---|
| Doing Business As | NOVANT HEALTH SOUTH LAKE OB/GYN |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2024-06-20 |