NPI 1134383870

Novant Medical Group, INC.

Organisation Urology Physician Statesville, NC

Practice location

Address: 1410 Fern Creek Drive, Statesville, NC 28625-4483
Phone: (704) 873-6065
Fax: (704) 873-6058
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Authorised official

Name: Dinesh S Pai
Title: Vp of Operations
Phone: (704) 384-9113

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in North Carolina →

Registry record

NPI: 1134383870
Entity type: Organization
NPI issued: 11 Jul 2008
Record last updated: 11 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.