Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Whitestone Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
527 S NEW HOPE RD, GASTONIA, NC 28054-4040
(704) 316-4979
(704) 316-4978
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9679
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
207R00000X
Internal Medicine Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018N2
BCBS NC
NC
05
—
5905759
—
NC
Enumeration date
11/02/2006
Last updated
04/21/2010
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