Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Metrolina Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
2670 MILLS PARK DR, ROCK HILL, SC 29732-8599
(803) 985-3939
(803) 985-3929
Mailing address
2670 MILLS PARK DR, ROCK HILL, SC 29732-8599
(803) 985-3939
(803) 985-3929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903556
—
NC
05
—
GP4413
—
SC
Enumeration date
05/03/2006
Last updated
08/15/2008
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