# NOVANT MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lewisville Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932256229
- **Authorized official:** DINESH S. PAI (VP OF OPERATIONS)
- **Authorized official phone:** (704) 384-9104

## Contact information

- **Practice address:** 3248 EDGELAND HWY, RICHBURG, SC 29729-9478
- **Practice address phone:** (803) 789-6111
- **Practice address fax:** (803) 789-6118
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 384-7840
- **Mailing address fax:** (704) 384-7830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 12773 | SC | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 06/09/2008