Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Statesville Orthopedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DINESH S PAI (VP OF OPERATIONS)
(704) 384-9113
Entity
Organization
Contact information
Practice address
340 SIGNAL HILL DR, SUITE A, STATESVILLE, NC 28625-4483
(704) 873-6065
(704) 873-6058
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215192695
BCBS NC
NC
Enumeration date
07/24/2008
Last updated
08/18/2008
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