Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Oak Island Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
8715 E OAK ISLAND DR, OAK ISLAND, NC 28465-8367
(910) 278-3316
(910) 278-1415
Mailing address
8715 E OAK ISLAND DR, OAK ISLAND, NC 28465-8367
(910) 278-3316
(910) 278-1415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018J2
BCBS NC
NC
05
—
5904326
—
NC
Enumeration date
08/03/2006
Last updated
06/09/2008
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