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Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Hospitalists of Lake Norman
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DINESH S PAI (VP OF OPERATIONS)
(704) 384-9113
Entity
Organization
Contact information
Practice address
171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
(704) 660-4166
(704) 660-4167
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710143755
BCBS-NC
NC
Enumeration date
07/30/2008
Last updated
08/15/2008
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