Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Hartsville Neurology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
701 MEDICAL PARK DR, SUITE 108, HARTSVILLE, SC 29550-4777
(843) 332-9758
(843) 383-4243
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(843) 332-9758
(843) 383-4243
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4941
—
SC
Enumeration date
07/24/2008
Last updated
03/19/2009
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