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Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Metrolina Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
2670 MILLS PARK DR, ROCK HILL, SC 29732-8599
(803) 985-3939
(803) 985-3929
Mailing address
2670 MILLS PARK DR, ROCK HILL, SC 29732-8599
(803) 985-3939
(803) 985-3929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903556
—
NC
05
—
GP4413
—
SC
Enumeration date
05/03/2006
Last updated
08/15/2008
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