| Nova Physician Group Pllc | |
|
2001 Moss St Ste 1200 Lafayette LA 70501-2155 | |
| (337) 761-0211 | |
| (337) 227-6272 |
| Full Name | Nova Physician Group Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2001 Moss St Ste 1200, Lafayette, Louisiana |
| Authorized Official Name and Position | Terrence Morton (SR. MEDICAL DIRECTOR) |
| Authorized Official Contact | 3127339730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Physician Group Pllc 30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (773) 352-1515 | Nova Physician Group Pllc 2001 Moss St Ste 1200 Lafayette LA 70501-2155 Ph: (337) 761-0211 |
| NPI Number | 1770339731 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770339731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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