Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Cascade Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9113
Entity
Organization
Contact information
Practice address
509 OLDE WATERFORD WAY, SUITE 200, LELAND, NC 28451-4125
(910) 283-1500
(910) 283-1504
Mailing address
509 OLDE WATERFORD WAY, SUITE 200, LELAND, NC 28451-4125
(910) 283-1500
(910) 283-1504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908896
—
NC
Enumeration date
12/19/2007
Last updated
08/15/2008
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