Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
East Coast Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S PAI (VP OF OPERATIONS)
(704) 384-9113
Entity
Organization
Contact information
Practice address
460 HOLDEN BEACH RD, SHALLOTTE, NC 28470-1711
(910) 755-7779
(910) 755-7784
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020C4
BCBS-NC
NC
05
—
5905832
—
NC
Enumeration date
02/13/2007
Last updated
08/15/2008
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