Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Seaside Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
1733 SEASIDE ROAD SW, SUITE C, OCEAN ISLE BEACH, NC 28469-5850
(910) 575-9099
(910) 575-9103
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31090
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950408
—
NC
Enumeration date
02/04/2008
Last updated
06/29/2009
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