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Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Presbyterian Newborn Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-6296
(704) 384-6533
Mailing address
1900 RANDOLPH RD, SUITE 500, CHARLOTTE, NC 28207-1106
(704) 384-9113
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900494
—
NC
05
—
NPB140
—
SC
Enumeration date
06/14/2006
Last updated
06/09/2008
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