Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
The Medical Group, Darlington
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
213 PEARL ST, DARLINGTON, SC 29532-3810
(843) 391-0350
(843) 391-0355
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(843) 391-0350
(843) 391-0355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4940
—
SC
Enumeration date
07/14/2008
Last updated
03/19/2009
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