Nova Family Care | |
807 S Isabella St Suite C Sylvester GA 31791-7554 | |
(229) 776-9143 | |
Not Available |
Full Name | Nova Family Care |
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Speciality | Family Medicine |
Location | 807 S Isabella St, Sylvester, Georgia |
Authorized Official Name and Position | Martha Louise Cooper (OWNER) |
Authorized Official Contact | 2297769143 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nova Family Care Po Box 465 Sylvester GA 31791-0465 Ph: (229) 776-9143 | Nova Family Care 807 S Isabella St Suite C Sylvester GA 31791-7554 Ph: (229) 776-9143 |
NPI Number | 1871508606 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 04/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871508606 | NPI | - | NPPES |
DD6608 | Other | GA | RAILROAD MEDICARE |
000689279E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | BC4653247 (Georgia) | Primary |
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