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NOVANT MEDICAL GROUP INC. NPI 1508021049


NPI Information

NPI: 1508021049
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: HARTSVILLE NEUROLOGY CENTER

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
701 MEDICAL PARK DR
SUITE 108
HARTSVILLE, SC
ZIP 29550
Phone: (843) 332-9758
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NOVANT MEDICAL GROUP, INC. is a neurology psychiatry neurology in Hartsville, SC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NOVANT MEDICAL GROUP, INC. NPI is 1508021049. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hartsville Neurology Center.

The provider's business location address is:

701 MEDICAL PARK DR
SUITE 108
HARTSVILLE, SC
ZIP 29550-777
Phone: (843) 332-9758
Fax: (843) 383-4243

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 7/24/2008 and was last updated on 3/19/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP4941MEDICAIDSOUTH CAROLINA
28625MEDICARE PINSOUTH 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: 5/5/2024

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