# NOVANT MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cooleemee Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669620910
- **Authorized official:** DINESH PAI (VP OF OPERATIONS)
- **Authorized official phone:** (704) 384-9104

## Contact information

- **Practice address:** 143 MARGINAL STREET, COOLEEMEE, NC 27014-0910
- **Practice address phone:** (336) 284-2331
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (336) 284-2331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2008
- **Last updated:** 09/21/2009