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Organization

NOVANT MEDICAL GROUP, INC.

Active
Other names
Mooresville Surgical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DINESH S PAI (VP OF OPERATIONS)
(704) 384-9113
Entity
Organization

Contact information

Practice address
123 PROFESSIONAL PARK DR, SUITE 200, MOORESVILLE, NC 28117-5524
(704) 663-7905
(704) 663-5224
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 663-7905
(704) 663-5224

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5950526
NC
Enumeration date
08/18/2008
Last updated
05/18/2009
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