Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Lowrys Family Medicine Great Falls
Organization subpart
No
Provider details
NPI number
Authorized official
DINSEH S PAI (VP OPERATIONS)
(704) 384-9113
Entity
Organization
Contact information
Practice address
308 CHESTER AVE, GREAT FALLS, SC 29055-1104
(803) 482-2129
Mailing address
308 CHESTER AVE, GREAT FALLS, SC 29055-1104
(803) 482-2129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5120
—
SC
Enumeration date
07/23/2008
Last updated
05/11/2009
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