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Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
The Medical Group, Swift Creek
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
206 SWIFT CREEK RD, HARTSVILLE, SC 29550-4383
(843) 383-5191
(843) 383-8895
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(843) 383-5191
(843) 383-8895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2083X0100X
Occupational Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4935
—
SC
Enumeration date
07/14/2008
Last updated
03/19/2009
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