# NOVANT MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Upstate Anesthesia Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386892685
- **Authorized official:** MR. DINESH S PAI (VP OF OPERATIONS)
- **Authorized official phone:** (704) 384-9104

## Contact information

- **Practice address:** 1530 N LIMESTONE ST, GAFFNEY, SC 29340-4742
- **Practice address phone:** (864) 489-3286
- **Practice address fax:** (864) 489-6694
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (864) 489-3286
- **Mailing address fax:** (864) 489-6694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2008
- **Last updated:** 10/14/2008