Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
South Charlotte Center for Gynecology & Pelvic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
5933 BLAKENEY PARK DR, STE 101, CHARLOTTE, NC 28277-5713
(704) 316-2061
(704) 316-2062
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9679
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
32077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019C0
BCBS OF NC
NC
05
—
5907984
—
NC
Enumeration date
05/18/2007
Last updated
06/09/2008
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