Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Catawba Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S PAI (VP OPERATIONS)
(704) 384-7607
Entity
Organization
Contact information
Practice address
3909 LANCASTER HWY, RICHBURG, SC 29729-9053
(803) 789-5221
Mailing address
3909 LANCASTER HWY, RICHBURG, SC 29729-9053
(803) 789-5221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4943
—
SC
Enumeration date
07/03/2008
Last updated
03/19/2009
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