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Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Hartsville Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (ENROLLMENT COORDINATOR)
(704) 384-9104
Entity
Organization
Contact information
Practice address
700 MEDICAL PARK DR, HARTSVILLE, SC 29550-4765
(843) 383-3742
(843) 383-3745
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(843) 383-3742
(843) 383-3745
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4937
—
SC
Enumeration date
07/30/2008
Last updated
03/19/2009
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