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Organization
NOVANT MEDICAL GROUP
Active
Organization
NOVANT MEDICAL GROUP
Active
Other names
Cooleemee Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
143 MARGINAL STREET, COOLEEMEE, NC 27014-0910
(336) 284-2331
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 284-2331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
09/21/2009
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