# NOVA WOUND CARE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TKR Group, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063816155
- **Authorized official:** TIMOTHY R LAPHAM MD (OWNER/PRESIDENT)
- **Authorized official phone:** (703) 876-2710

## Contact information

- **Practice address:** 3700 JOSEPH SIEWICK DR, 303, FAIRFAX, VA 22033-1744
- **Practice address phone:** (703) 664-8025
- **Practice address fax:** (703) 652-8470
- **Mailing address:** 115 BEULAH RD NE, 100D, VIENNA, VA 22180-4749
- **Mailing address phone:** (703) 652-4251
- **Mailing address fax:** (703) 652-8470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101240684 | VA | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 03/08/2019