Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Belmont Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
1223 SPRUCE ST, BELMONT, NC 28012-3371
(704) 316-2150
(704) 316-2151
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9679
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020AN
BCBS-NC
NC
05
—
5908885
—
NC
Enumeration date
02/01/2008
Last updated
08/15/2008
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