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Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Urgent Care Delco
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
25805 ANDREW JACKSON HIGHWAY E, DELCO, NC 28436-8916
(910) 655-9900
(910) 655-9907
Mailing address
25805 ANDREW JACKSON HWY E, DELCO, NC 28436-8916
(910) 655-9900
(910) 655-9907
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019V8
BCBS OF NC
NC
05
—
5908607
—
NC
Enumeration date
09/13/2007
Last updated
08/18/2008
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