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NPI Code Detail

MEDICARE: NOVANT MEDICAL GROUP, INC.

MEDICARE: NOVANT MEDICAL GROUP, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1538316088
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOVANT MEDICAL GROUP, INC.
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-384-7840
Fax Number : 704-384-7830
Provider Business Practice Location Address
First Line : 104 PROFESSIONAL PARK
Second Line : SUITE B
City : GAFFNEY
State : SC
Zip : 29340-2319
Country : US
Telephone Number : 864-902-9985
Fax Number : 864-902-9987
Authorized Official
Title or Position : VP OF OPERATIONS
Name : MR. DINESH S PAI
Credential :
Telephone Number : 704-384-9104
Provider Enumeration Date : 08/26/2008
Last Update Date : 02/23/2009

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Directions to “NOVANT MEDICAL GROUP, INC. ” Practice Location

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