| Novant Medical Group, Inc. | |
|
308 Chester Ave Great Falls SC 29055-1104 | |
| (803) 482-2129 | |
| Not Available |
| Full Name | Novant Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 308 Chester Ave, Great Falls, South Carolina |
| Authorized Official Name and Position | Dinseh S Pai (VP OPERATIONS) |
| Authorized Official Contact | 7043849113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Medical Group, Inc. 308 Chester Ave Great Falls SC 29055-1104 Ph: (803) 482-2129 | Novant Medical Group, Inc. 308 Chester Ave Great Falls SC 29055-1104 Ph: (803) 482-2129 |
| NPI Number | 1639334329 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 05/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639334329 | NPI | - | NPPES |
| GP5120 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Chester Physicians Hma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Chester Ave, Great Falls, SC 29055 Phone: 803-482-2129 Fax: 803-482-4989 | |
Medical University Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Chester Ave, Great Falls, SC 29055 Phone: 843-792-1414 | |
Great Falls Consulting Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Chester Ave Ste A, Great Falls, SC 29055 Phone: 803-482-7545 |