Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Statesville Urology
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S PAI (VP OF OPERATIONS)
(704) 384-9113
Entity
Organization
Contact information
Practice address
1410 FERN CREEK DRIVE, STATESVILLE, NC 28625-4483
(704) 873-6065
(704) 873-6058
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 873-6065
(704) 873-6058
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NC
Other
Enumeration date
07/11/2008
Last updated
09/11/2008
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