Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Hartsville Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (ENROLLMENT COORDINATOR)
(704) 384-9104
Entity
Organization
Contact information
Practice address
700 MEDICAL PARK DR, HARTSVILLE, SC 29550-4765
(843) 383-3742
(843) 383-3745
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(843) 383-3742
(843) 383-3745
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4937
—
SC
Enumeration date
07/30/2008
Last updated
03/19/2009
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