Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Presbyterian Newborn Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-6296
(704) 384-6533
Mailing address
1900 RANDOLPH RD, SUITE 500, CHARLOTTE, NC 28207-1106
(704) 384-9113
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900494
—
NC
05
—
NPB140
—
SC
Enumeration date
06/14/2006
Last updated
06/09/2008
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