Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
The Medical Group, Swift Creek
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
206 SWIFT CREEK RD, HARTSVILLE, SC 29550-4383
(843) 383-5191
(843) 383-8895
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(843) 383-5191
(843) 383-8895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2083X0100X
Occupational Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4935
—
SC
Enumeration date
07/14/2008
Last updated
03/19/2009
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