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NOVANT MEDICAL GROUP INC. NPI 1790743474


NPI Information

NPI: 1790743474
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: METROLINA MEDICAL ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2670 MILLS PARK DR
ROCK HILL, SC
ZIP 29732
Phone: (803) 985-3939
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NOVANT MEDICAL GROUP, INC. is a family medicine in Rock Hill, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NOVANT MEDICAL GROUP, INC. NPI is 1790743474. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Metrolina Medical Associates.

The provider's business location address is:

2670 MILLS PARK DR
ROCK HILL, SC
ZIP 29732-599
Phone: (803) 985-3939
Fax: (803) 985-3929

The provider's authorized official is Dinesh S. Pai .
The authorized official title is Vp Of Operations and has the following contact phone number (704) 384-9104.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 8/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP4413MEDICAIDSOUTH CAROLINA
28492MEDICARE PINSOUTH CAROLINA
35903556MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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