Nova-inc. | |
2002 Shackleford Rd Kinston NC 28504-8917 | |
(252) 233-0491 | |
(252) 233-0495 |
Full Name | Nova-inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 2002 Shackleford Rd, Kinston, North Carolina |
Authorized Official Name and Position | Tracey Pridgen (CFO) |
Authorized Official Contact | 9197348803 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nova-inc. Po Box 11147 Goldsboro NC 27532-1147 Ph: (919) 734-8803 | Nova-inc. 2002 Shackleford Rd Kinston NC 28504-8917 Ph: (252) 233-0491 |
NPI Number | 1346471265 |
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Provider Enumeration Date | 07/28/2009 |
Last Update Date | 09/27/2024 |
Certification Date | 09/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346471265 | NPI | - | NPPES |
8300789H | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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