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Contact Information

NOVANT MEDICAL GROUP, INC.
701 MEDICAL PARK DR
SUITE 108
HARTSVILLE, SC29550-4777
 Phone: 843-332-9758
 Fax: 843-383-4243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for NOVANT MEDICAL GROUP, INC.

NPI Number 1508021049
LBN Legal business name NOVANT MEDICAL GROUP, INC.
Authorized official DINESH PAI - (VP OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2008
Last updated 03/19/2009 - About 17 years ago
Identifiers
SC Medicaid GP4941
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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