| Novant Medical Group, Inc. | |
|
3248 Edgeland Hwy Richburg SC 29729-9478 | |
| (803) 789-6111 | |
| (803) 789-6118 |
| Full Name | Novant Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3248 Edgeland Hwy, Richburg, South Carolina |
| Authorized Official Name and Position | Dinesh S. Pai (VP OF OPERATIONS) |
| Authorized Official Contact | 7043849104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Medical Group, Inc. Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | Novant Medical Group, Inc. 3248 Edgeland Hwy Richburg SC 29729-9478 Ph: (803) 789-6111 |
| NPI Number | 1932256229 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932256229 | NPI | - | NPPES |
| GP4615 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12773 (South Carolina) | Primary |
Pmc Physician Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3248 Edgeland Hwy, Richburg, SC 29729 Phone: 803-789-6111 Fax: 803-789-6118 | |
Novant Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Lancaster Hwy, Richburg, SC 29729 Phone: 803-789-5221 | |
Medical University Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3909 Lancaster Hwy, Richburg, SC 29729 Phone: 803-789-5221 | |
Lewisville Medical Center Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3248 Edgeland Hwy, Richburg, SC 29729 Phone: 803-789-6111 Fax: 803-789-6118 |