Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Creekside Psychiatric Services and Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
1718 E 4TH ST, SUITE 902, CHARLOTTE, NC 28204-3261
(704) 384-7605
(704) 417-1178
Mailing address
1412 FERN CREEK DRIVE, STATESVILLE, NC 28625-0000
(704) 384-7605
(704) 417-1178
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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