Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Carolina Urology Care
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
131 MEDICAL PARK RD, SUITE 305, MOORESVILLE, NC 28117-8522
(704) 662-9870
(704) 662-9788
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950629
—
NC
Enumeration date
06/06/2008
Last updated
04/07/2009
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