| Nova Family Practice | |
|
4252 Arendell St Ste A Morehead City NC 28557-0015 | |
| (252) 222-0204 | |
| (252) 222-0433 |
| Full Name | Nova Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 4252 Arendell St Ste A, Morehead City, North Carolina |
| Authorized Official Name and Position | David Donnelly (MANAGER) |
| Authorized Official Contact | 2526720095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Family Practice 1813 S Glenburnie Rd New Bern NC 28562-5210 Ph: (252) 672-0095 | Nova Family Practice 4252 Arendell St Ste A Morehead City NC 28557-0015 Ph: (252) 222-0204 |
| NPI Number | 1962872069 |
|---|---|
| Provider Enumeration Date | 10/01/2015 |
| Last Update Date | 02/22/2016 |
| Medicare PECOS PAC ID | 6507161007 |
|---|---|
| Medicare Enrollment ID | O20160222001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962872069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 213209 (North Carolina) | Primary |
| Provider Name | Thomas L Kirtley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710977087 PECOS PAC ID: 0840267746 Enrollment ID: I20110131000827 |
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