Organization
NOVANT MEDICAL GROUP
Active
Other names
Cooleemee Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
143 MARGINAL STREET, COOLEEMEE, NC 27014-0910
(336) 284-2331
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 284-2331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
09/21/2009
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