Nova Physician Group Pllc | |
1731 Dixie Hwy Louisville KY 40210-2313 | |
(502) 444-6016 | |
(502) 586-7178 |
Full Name | Nova Physician Group Pllc |
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Speciality | Clinic/center - Primary Care |
Location | 1731 Dixie Hwy, Louisville, Kentucky |
Authorized Official Name and Position | Terrence Morton (SR. MEDICAL DIRECTOR) |
Authorized Official Contact | 7737339730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nova Physician Group Pllc 30 W Monroe St Ste 1200 Chicago IL 60603 Ph: (773) 352-1515 | Nova Physician Group Pllc 1731 Dixie Hwy Louisville KY 40210-2313 Ph: (502) 444-6016 |
NPI Number | 1346097102 |
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Provider Enumeration Date | 05/01/2024 |
Last Update Date | 05/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346097102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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