# NOVANT MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Whitestone Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073691184
- **Authorized official:** DINESH S. PAI (VP OF OPERATIONS)
- **Authorized official phone:** (704) 384-9104

## Contact information

- **Practice address:** 527 S NEW HOPE RD, GASTONIA, NC 28054-4040
- **Practice address phone:** (704) 316-4979
- **Practice address fax:** (704) 316-4978
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 384-9679
- **Mailing address fax:** (704) 316-0508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NC | Yes |
| 207R00000X | Internal Medicine Physician | — | NC | — |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 04/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 018N2 | BCBS NC | NC |
| 05 | — | 5905759 | — | NC |