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Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Gaston Family Docs
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
2290 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 853-3627
(704) 853-3500
Mailing address
2290 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 853-3627
(704) 853-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019R8
BCBS OF NC
NC
05
—
5908354
—
NC
Enumeration date
10/24/2007
Last updated
06/08/2008
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