Organization
NOVANT MEDICAL GROUP, INC
Active
Parent organization
SEASIDE ORTHOPAEDICS
Other names
Seaside Orthopaedic North Myrtle
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEASIDE ORTHOPAEDICS
Authorized official
DINESH S PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
2021 N MYRTLE POINT BLVD, NORTH MYRTLE BEACH, SC 29582-2224
(843) 663-2663
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NPB055
—
SC
Enumeration date
05/27/2008
Last updated
05/27/2009
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