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Organization
NOVANT MEDICAL GROUP INC
Active
Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Whitestone Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
527 S NEW HOPE RD, GASTONIA, NC 28054-4040
(704) 316-4979
(704) 316-4978
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9679
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
207R00000X
Internal Medicine Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018N2
BCBS NC
NC
05
—
5905759
—
NC
Enumeration date
11/02/2006
Last updated
04/21/2010
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