Organization
NOVANT MEDICAL GROUP, INC.
Active
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
Update your record
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